Hostname: page-component-848d4c4894-jbqgn Total loading time: 0 Render date: 2024-07-05T14:39:27.387Z Has data issue: false hasContentIssue false
  • English
  • Français

Schizophrenia in a patient with established Gilles de la Tourette Syndrome

Published online by Cambridge University Press:  13 June 2014

Elizabeth C Cassidy ,
Steven John Miller  and
Julie F Chalmers
Steven John Miller
Affiliation:
Stanley House, Christy Hospital, Wilmslow, Manchester M20 4BX, England
Julie F Chalmers
Affiliation:
Consultant Psychiatrist, Elms Clinic, Oxford Road, Bambury, Oxen OX 16 9AL, England
Get access Rights & Permissions [Opens in a new window]

Abstract

A 24 year old man with established Gilles de la Tourette Syndrome (GTS)and schizophrenia of recent onset is described. Other comorbid reports of schizophrenia and GTS are reviewed showing this association to be rare, with only nine previous reported cases. GTS and schizophrenia have many phenomenological similarities and a link has been considered between the two disorders but never clearly established. Reasons for the lack of an association where one might be expected are considered. Possibilities include under reporting or misdiagnosis of GTS or the possible masking of psychotic symptoms by treatment of the GTS.

Keywords

Tourettes syndromeSchizophreniaDual diagnosis
Type
Case Reports
Information
Irish Journal of Psychological Medicine , Volume 13 , Issue 4 , December 1996 , pp. 166 - 168
Copyright
Copyright © Cambridge University Press 1996

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1.O'Shea, B, Falvey, J. A textbook of psychological medicine. Dublin: EHB Print, 1993.Google Scholar
2.Tourette Gilles, de la. Etude sur une affection nerveusa caracterisee par de l'incoordination motrice, accompagnee d'echolalie et de coprolalie. Arch de Neurologie 1885; 19: 159.Google Scholar
3.Singer, K. Gilles de la Tourette's disease. Am J Psychiatry 1963; 120: 80–1.CrossRefGoogle ScholarPubMed
4.Bruun, RD. Gilles de la Tourette's syndrome: an overview of clinical experience. J Am Acad Child Adolesc Psychiatry 1984; 23: 126–33.CrossRefGoogle ScholarPubMed
5.Robertson, MM, Verrill, M, Mercer, M, James, B, Pauls, DL. Tourette's Syndrome in New Zealand. Br J Psychiatry 1994; 164: 263–6.CrossRefGoogle ScholarPubMed
6.Robertson, MM. The Gilles de la Tourette's syndrome: the current status. Br J Psychiatry 1989; 154: 147–69.CrossRefGoogle ScholarPubMed
7.Mahler, MS, Luke, JA. Outcome of the tic syndrome. J Nerv Ment Dis 1946; 103: 433–45.CrossRefGoogle ScholarPubMed
8.Ascher, A. Psychodynamic consideration in Gilles de la Tourette's disease (Maladie des Tics). Am J Psychiatry 1948; 105: 267–76.CrossRefGoogle ScholarPubMed
9.Eisenberg, L, Ascher, EA, Kanner, L. A clinical study of Gilles de la Tourette's disease (Maladie des Tics) in children. Am J Psychiatry 1959; 115: 715–26.CrossRefGoogle ScholarPubMed
10.Corbett, JA, Mathews, AM, Connell, PH, Shapiro, DA. Tics and Gilles de la Tourette's syndrome. A follow up study and critical review. Br J Psychiatry 1969; 115: 1229–41.CrossRefGoogle ScholarPubMed
11.Shapiro, AK, Shapiro, E, Wayne, H, Clarkin, J. Psychopathology of Gilles de la Tourette's syndrome. Am J Psychiatry 1972; 129: 427–34.CrossRefGoogle ScholarPubMed
12.Caine, ED, Margolin, DI, Brown, GL, Ebert, MH. Gilles de la Tourette's syndrome, tardive dyskinesia and psychosis in an adolescent. Am J Psychiatry 1978; 135: 241–3.Google Scholar
13.Takeuchi, K, Yamashita, M, Morikiyo, M, et al.Gilles de la Toutette's syndrome and schizophrenia. J Nerv Ment Dis 1986; 174: 247–8.CrossRefGoogle Scholar
14.Robertson, MM, Gourdie, A. Familial Tourette's syndrome in a large British pedigree associated psychopathology, severity, and potential for linkage analysis. Br J Psychiatry 1990; 156: 512–5.CrossRefGoogle Scholar
15.World Health Organisation. The 10th revision of the International Classification of Diseases and Related Health Problems (ICD-10). Geneva: World Health Organisation, 1992.Google Scholar
16.Kraeplin, E. Dementia praecox and paraphrenia (Translated by RM Barclay). Edinburgh: E&S Livingstone, 1919.Google Scholar
17.Kerdeshian, J, Burd, L. Are Schizophreniform symptoms present in attenuated form in children with Tourette disorder and other developmental disorders. Can J Psychiatry 1987; 32: 123–30.CrossRefGoogle Scholar
18.Balthesar, K. Uber das anatomische Substrat der generalisierten Tic-Krankenheit (maladie des tics, Gilles de la Tourette): Entwicklungshemmung des corpus stiatum. Arch Psychiatry Nervenkr 1957; 195: 531–49.CrossRefGoogle Scholar
19.Mettler, FA. Perceptual capacity, functions of the corpus striatum and schizophrenia. Psychiatry Quarterly 1955; 29: 433–45.CrossRefGoogle ScholarPubMed
20.Moriarty, J, Campos, Costa D, Schmitz, B, Trimble, MR, Ell, PJ, Robertson, MM. Brain perfusion abnormalities in Gilles dela Tourette's syndrome. Br J Psychiatry 1995; 167: 249–54.CrossRefGoogle Scholar
21.DeLisi, LE, Bushbaum, MS, Holcomb, HH, Dowling-Zimmerman, S, Pickar, D, et al.Clinical correlates of decreased anteroposterior metabolic gradients in positron emission tomography of schizophrenic patients. Am J Psychiatry 1985; 142: 78–81.Google ScholarPubMed