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December 1984

Gilles de la Tourette's Syndrome and Bipolar Disorder

Author Affiliations

Medical Center Rehabilitation Hospital Child Evaluation and Treatment Program 1300 S Columbia Rd Grand Forks, ND 58202

Arch Neurol. 1984;41(12):1236. doi:10.1001/archneur.1984.04050230014005

To the Editor.  —We describe a patient who fits the criteria for bipolar disorder and Gilles de la Tourette's syndrome according to the DSM-III.1

Report of a Case.  —A 42-year-old woman had had encephalitis at approximately 3 years of age. Shortly after the resolution of the encephalitis, she began to have a seizure disorder, consistent with partial seizures that were uncontrollable. As a result, she was placed in a state institution for the mentally retarded.Soon thereafter, it was observed that she began to have a number of nervous habits of the face, mouth, and body that were later identified as tics. After that, she was observed to shout obscenities periodically and manifested a number of rituals that included licking objects and tracing patterns with her index finger. She had a number of other habits that were observed to come and go. These included spitting, stamping of her feet

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