title: Long-term Follow-up of a Case of Gilles de la Tourette's syndrome.
abstract: 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.
authors.affiliation: Department of Psychiatry, Govt. T. D. Medical College, Alappuzha, Kerala, India.
authors.forename: Soumitra
authors.initials: S
authors.lastname: Das
authors.affiliation: Department of Psychiatry, Govt. T. D. Medical College, Alappuzha, Kerala, India.
authors.forename: Arjun
authors.initials: A
authors.lastname: Kartha
authors.affiliation: Department of Psychiatry, Govt. T. D. Medical College, Alappuzha, Kerala, India.
authors.forename: Sumesh Thoppil
authors.initials: ST
authors.lastname: Purushothaman
keywords: Co-morbidities; Tourette's syndromes; course; tics