Guilles de la Tourette y epilepsia

Abstract

Introduction and objectives

We present the case of a male patient, who has been under follow-up since he was 12 years old due to obsessive symptomatology and phonological tics. After years of specific treatment for such symptomatology, at the age of 19 he debuts with complex generalized seizures, being diagnosed with epilepsy complex generalized seizures, being diagnosed with epilepsy. As a result of this case, a brief review is made on the relationship between both entities.

Case presentation

The patient began his follow-up in Mental Health at the age of 12, first with the infantile-juvenile team, being diagnosed with OCD. In view of this obsessive-compulsive disorder, his child and adolescent psychiatrist, in addition to prescribing treatment with sertraline 100 mg DMD, performed cognitive-behavioral therapy. After five years of treatment, the patient improved to such an extent that he was able to withdraw the pharmacological treatment and be discharged from follow-up care and he could be discharged from his follow-up in Mental Health.

After a year of stability, he was diagnosed with Gilles de la Tourette syndrome. For this reason, it was decided to start treatment again with sertraline 100 mg DMD and cognitive therapy. With the pharmacological treatment and psychotherapeutic follow-up, the symptomatology improves moderately, although without disappearing completely.

After six months of treatment with SSRIs and cognitive behavioral therapy, the patient debuted with a tonic-clonic seizure, which required hospital admission for study and diagnosis. He was diagnosed with epilepsy, receiving treatment with topiramate at 200 mg DMD. Since the beginning of anticonvulsant treatment, the symptomatology of tics has subsided until its disappearance.

Discussion

Although they are different entities, and it is necessary to perform an adequate differential diagnosis, it seems that both differential diagnosis is necessary, it seems that as much the crisis as the tics share similarities in their physiopathology. In addition to the classic treatments, antiepileptics can be used.