Which symptom is NOT associated with Tourette syndrome?

Tourette syndrome is characterized by the presence of motor and vocal tics. These symptoms typically manifest as involuntary, rapid movements or vocalizations. The symptoms often include facial twitches and grunts, body spasms, and other motor control anomalies, which correspond closely with the options that describe physical tics and vocalizations.

The option that mentions highly aggressive behavior is not a core symptom associated with Tourette syndrome. While individuals with Tourette's may experience behavioral challenges, such as impulsivity or difficulties with self-regulation, aggression is not a hallmark symptom of the disorder. Instead, the focus is on the involuntary motor and vocal tics that define Tourette syndrome. Thus, identifying aggressive behavior as not associated with the condition is accurate, distinguishing it from the other symptoms that are indeed characteristic of Tourette syndrome.