Valdés KM, Ayodeji UO

Language: Spanish
References: 0
Page: 63-70
PDF size: 77.27 Kb.

ABSTRACT

Introduction: Tourette's syndrome constitutes a neuropsychiatric disorder that can seriously affect the quality of life.
Objective: To describe the clinical characteristics and the treatment of Tourette's syndrome in a patient treated at the Department of Mental Health of Héroes de Girón University Polyclinic.
Methods: The clinical method, anamnesis, general physical, neurological and psychiatric examination were applied. Semi-structured interview, projective psychological tests, laboratory tests, electrocardiogram, brain imaging (simple skull CAT scan); neuropsychological (Wisconsin) and neurophysiological studies (Electroencephalogram). The clinical record of the patient examined was reviewed.
Results: Male patient aged 43 years, single, without children, electrician. With a history of hyperactivity and attentional difficulty, associated with complex and phonatory motor tics from the age of 7 and without treatment, affecting his quality of life. The clinical examination shows mixed tics, psychiatric examination, distractibility, withdrawal, demotivation, perseveration, ruminations, obsessive ideas, anxiety, anguish, hyperkinesia, compulsions, rituals, dyspnea, coprolalia and nocturnal insomnia. In psychological tests, marked anxiety and impulsivity. The laboratory studies, electrocardiography and CT scan of the skull did not yield pathological results. Wisconsin positive. Electroencephalogram with cortical irritation in the left frontotemporal region.
Conclusions: Tourette's syndrome is frequently seen in the psychiatric clinic of the adult as a comorbid entity with attention deficit hyperactivity disorder and obsessive compulsive disorder.