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
Burd L, Kerbeshian J. Gilles de la Tourette's Syndrome and Bipolar Disorder. Arch Neurol. 1984;41(12):1236. doi:10.1001/archneur.1984.04050230014005
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