Diagnosis and treatment of comorbidities of Tourette's syndrome and bipolar disorder in a 10-year-old boy.
Changes in moods are one of the comorbid psychiatric manifestations that frequently occur in patients with Tourette's syndrome. The assessment of a manic episode in children with Tourette's syndrome is challenging. Furthermore, the treatment of children with comorbid mania and Tourette's syndrome has not been extensively studied. We present a 10-year-old boy who suffered from both Tourette's syndrome and mania, whose symptoms improved after using lithium and risperidone. The child was diagnosed with Tourette's syndrome at 7 years of age when he suffered from tics and experienced his first manic episode. He received monotherapy, including haloperidol, risperidone and aripiprazole, and the response was poor. When the combination of lithium and risperidone was used, the tics and mania subsided. It is important to assess individuals with Tourette's syndrome for associated bipolar disorder. The treatment of children with both disorders is a major clinical issue, and our case may serve as an example for successful treatment strategies.
Department of Psychiatry, Kaohsiung Kai-Suan Psychiatric Hospital, Kaohsiung, Taiwan.
Peng-Wei
PW
Wang
Mei-Feng
MF
Huang
Cheng-Fang
CF
Yen
Rong-Rong
RR
Huang
D014150:Antipsychotic Agents / Q000627:therapeutic use; D001714:Bipolar Disorder / Q000175:diagnosis* / Q000188:drug therapy*; D002648:Child; D015897:Comorbidity; D006801:Humans; D008094:Lithium / Q000627:therapeutic use; D008297:Male; D018967:Risperidone / Q000627:therapeutic use; D005879:Tourette Syndrome / Q000175:diagnosis* / Q000188:drug therapy*
D014150:Antipsychotic Agents; D008094:Lithium; D018967:Risperidone