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Generating Acute and Chronic Experimental Models of Motor Tic Expression in Rats
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Tourette's disease with impulse control disorder.

Rajnish Raj1, Balwant Singh Sidhu

  • 1Department of Psychiatry, Government Medical College and Rajindra Hospital, Patiala, Punjab, India.

Indian Journal of Psychiatry
|March 25, 2011
PubMed
Summary

This case study highlights a rare co-occurrence of Tourette

Area of Science:

  • Neuroscience
  • Psychiatry
  • Clinical Case Reports

Background:

  • Tourette disease (TD) is a neurological disorder characterized by involuntary, repetitive movements and vocalizations (tics).
  • Impulse control disorders (ICDs) involve difficulties in controlling behavioral impulses, leading to negative consequences.
  • The co-morbidity of TD and ICDs is infrequently reported, yet potentially significant due to associated behavioral challenges.

Purpose of the Study:

  • To describe a rare case of Tourette disease (TD) co-occurring with an impulse control disorder (ICD).
  • To elucidate the clinical presentation and phenomenology of this specific co-morbidity.
  • To underscore the importance of recognizing and managing ICDs in patients with TD.

Main Methods:

  • A detailed clinical case report is presented.
Keywords:
Impulse control disorderTourette's diseaseobsessive compulsive disorder

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  • Phenomenological analysis of the patient's symptoms and history was conducted.
  • Literature review on TD and ICD co-morbidity was performed.

    • Main Results:

    • The case illustrates a patient with Tourette disease exhibiting significant features of an impulse control disorder.
    • This co-morbidity manifested as pronounced rage attacks and explosive outbursts during childhood and adolescence.
    • Such symptoms can have detrimental effects on the patient's development and social functioning.

    Conclusions:

    • The co-occurrence of Tourette disease and impulse control disorders, though rare, presents a complex clinical picture.
    • Understanding the phenomenology of this co-morbidity is crucial for effective diagnosis and management.
    • Early identification and intervention for impulse control issues in TD patients may mitigate long-term negative outcomes.