Gilles de La Tourette's Syndrome

  • Chairul Yoel Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • A. Afif Siregar Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
  • A. H. Sutanto Department of Child Health, Universitas Sumatera Utara Medical School/Dr. Pirngadi General Hospital, Medan, North Sumatera
Keywords: Gilles de La Tourette's Syndrome; motor tics; vocal tics; dopaminergic system

Abstract

A case of Gilles de Ia Tourette's Syndrome is presented. This is the second reported case in Indonesia.

The diagnosis was based on four essential features : childhood onset, multiple motor tics, vocal tics and changing pattern of the symptoms.

The exact etiology of this syndrome is still unknown. It is proposed that patients with this illness could have hyperactivity of the dopaminergic systems in their basal ganglia.

Symptomatic improvement has been achieved with haloperidol. The response to this drug could not be evaluated in this patient because of refusal to continue the treatment.

References

1. Ueh-Mak F., Luk S.L., and Leung L. : Gilles de Ia Tourette's syndrome : Report of five cases in the Chinese, Brit. J. PsychJat. 134 : 630 (1979).
2. Loebis B., Syamsir R.S., dan Yusuf Syafri : Pengobatan sindrome Gilles de Ia Tourette dengan Haloperidol Maj. Kedok. lndones. 11 : 179 (1981).
3. Shapiro A.K., Shapiro E., Wayne H.L., Clarkin J., and Bruun R.D. : Tourette's syndrome: Summary of data on 34 patients, Psychosom. Med. 35 : 419 (1972).
4. Shapiro AK., Shapiro E.S., Bruun R.D., Sweet R., Wayne H., and Solomon G., : Gilles de Ia Tourette's syndrome : Summary of cllnical experience with 250 padents and suggested nomenclature for tic syndromes, Advances in Neurology, Vol. 14, Raven Press, New York, pp. 277- 283 (1976).
Published
2018-08-03
How to Cite
1.
Yoel C, Siregar A, Sutanto A. Gilles de La Tourette’s Syndrome. PI [Internet]. 3Aug.2018 [cited 26Apr.2024];24(7-8):173-. Available from: https://paediatricaindonesiana.org/index.php/paediatrica-indonesiana/article/view/1905
Received 2018-08-03
Published 2018-08-03