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Gilles de la Tourette Syndrome and Mania in an Adolescent

Published online by Cambridge University Press:  29 January 2018

Avraham Bleich
Affiliation:
Sackler School of Medicine, University of Tel Aviv, and Child and Adolescent Department, Geha Psychiatric Hospital, 49100 Peta Tiqva, Israel
Edna Bernout
Affiliation:
Sackler School of Medicine, University of Tel Aviv, and Child and Adolescent Department, Geha Psychiatric Hospital, 49100 Peta Tiqva, Israel
Alan Apter
Affiliation:
Sackler School of Medicine, University of Tel Aviv, and Child and Adolescent Department, Geha Psychiatric Hospital, 49100 Peta Tiqva, Israel
Sam Tyano
Affiliation:
Sackler School of Medicine, University of Tel Aviv, and Child and Adolescent Department, Geha Psychiatric Hospital, 49100 Peta Tiqva, Israel

Summary

The case is presented of a twelve-year-old boy suffering simultaneously from Tourette Syndrome (TS) and a manic episode. The problems of this unique clinical association are discussed from the point of view of differential diagnosis, treatment, and possible biochemical basis. The case also illustrates the usefulness of the expanded concept of TS as a neuropsychiatric disorder with dys-regulation of perceptual, motor, and cognitive functioning.

Type
Research Article
Copyright
Copyright © 1985 The Royal College of Psychiatrists 

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References

Bliss, J. (1980) Sensory experiences of Gilles de la Tourette syndrome. Archives of General Psychiatry, 37, 13431347.Google Scholar
Buruma, O. J. S., Roos, R. A. C., Bruyn, G. W., Kemp, B. & Van Der Velde, E. A. (1982) Tiapride in the treatment of tardive dyskinesia, Acta Neurologica Scandinavica, 65, 3844.Google Scholar
Cohen, D. J., Young, J. G., Nathanson, J. A. & Shaywitz, A. B. (1979) Clonidine in Tourette's syndrome. Lancet, 2, 551553.CrossRefGoogle ScholarPubMed
Cohen, D. J., Detlor, J., Young, J. G. & Shaywitz, A. B. (1980) Clonidine ameliorates Gilles de la Tourette syndrome. Archives of General Psychiatry, 37, 13501357.Google Scholar
Dalery, J. et al (1980) Interest du tiapride dans le traitement de tics de l'enfant et de l'adolescent. Comm. Congrs. Neuropsych. Reims, 78e Session, 22–28 Juin.Google Scholar
Klawans, H. L., Falk, O. K., Nausieda, P. A., & Weiner, W. J. (1978) Gilles de la Tourette syndrome after long term chlorpromazine therapy. Neurology, 28, 10641068.Google Scholar
Loranger, A. W. & Levine, P. M. (1978) Age at onset of bipolar affective illness. Archives of General Psychiatry, 35, 13451348.Google Scholar
Nee, L. E., Caine, E. D., Polinsky, R. J., Eldrige, R. & Ebert, M. H. (1980) Gilles de la Tourette syndrome: clinical and family study of 50 cases. Annals of Neurology, 7, 4149.Google Scholar
Shapiro, A. K., Shapiro, E. S., Brunn, R. D. & Sweet, R. D. (1978) Gilles de la Tourette Syndrome New York: Raven.Google Scholar
Silver, L. B. (1980) Gilles de la Tourette disease. In Comprehensive Textbook of Psychiatry, ed. Kaplan, H. I., & Freedman, A. M., pp. 25732576 Baltimore: Williams & Wilkins.Google Scholar
Weinberg, W. A. & Brumback, R. A. (1976) Mania in childhood, case studies and literature review. American Journal of Diseases of Childhood, 130, 380385.Google Scholar
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