Gilles de La Tourette Syndrome: Late Diagnosis Case Report

• Autor(a) principal: Pires, Sofia
• Data de Publicação: 2021
• Outros Autores: Costa, Ana, Ribeiro, Joana, Borges, Sandra
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://doi.org/10.51338/rppsm.2021.v7.i2.179
• topic: Deep Brain Stimulation; Tourette Syndrome/diagnosis; Tourette Syndrome/therapy; Estimulação Encefálica Profunda; Síndrome de Tourette/diagnóstico;; Síndrome de Tourette/tratamento

Gilles de la Tourette syndrome is a neuropsychiatric disease that affects about 1% of the population with frequent onset during childhood or early adolescence. Tics, the central manifestation, tend to decrease in frequency and severity throughout adolescence, even though a small percentage of cases progress to severe illness. We present a clinical case description of a 28‑year‑old patient late diagnosed at 18 years old, with severe disease and no response to treatment as well as a prognostic and maintenance factor exploration and surgical indication in pharmacological resistant cases. The pathophysiology is not well established and there is no approved treatment for all patients. There are alternatives when psychotropic drugs are not effective and a surgical intervention is considered in this case. We highlight the importance of a good co‑work and communication between Child and Adolescent Psychiatry, Psychiatry and Primary Care and early diagnosis. Further studies and evidence will be necessary to define and individualize resistant cases treatment.