Indian Journal of Psychological Medicine
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CASE REPORT
Year : 2016  |  Volume : 38  |  Issue : 3  |  Page : 263-265

Long-term follow-up of a case of gilles de la tourette's syndrome


Department of Psychiatry, Govt. T. D. Medical College, Alappuzha, Kerala, India

Correspondence Address:
Dr. Soumitra Das
C/420, PG Hostel, Medical College Hospital, Vandanam, Alappuzha - 688 005, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7176.183084

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Gilles de la Tourette's syndrome is a combined vocal and multiple motor tic disorder. Here, we present a case of Tourette's syndrome who attended our psychiatric causality with severe depression and suicidal ideation. On reviewing follow-up records of 23 years, we come to know about the academic decline and nicotine dependence in the early childhood. He also developed co-morbid obsessive compulsive disorder (OCD) along with severe depression. He was agitated and self-injurious. We diagnosed him as Gilles de la Tourette's syndrome with co-morbid OCD, depression, nicotine dependence. The patient was treated with haloperidol, sertraline, and clonidine when he developed mixed switch that necessitated us to stop sertraline. Hence, he was treated with a mood stabilizer and he remitted. Here, we want to show how Tourette's syndrome can take a longer course with different co-morbidities in a single person's life. As per our knowledge, such presentation is relatively rare in Indian literature.


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