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Longitudinal evolution of prefrontal leucotomy in Tourette's syndrome
J Kulisevsky1, M L Berthier, A Avila
1Department of Neurology, Sant Pau Hospital, Autonomous University of Barcelona, Spain.
Abstract:
We report the case of a 69-year-old man with severe Tourette's syndrome (TS) who underwent a bilateral prefrontal leucotomy at the age of 29 years to alleviate coprolalia, copropraxia, and obsessive-compulsive disorder. No improvement was observed during the 5 years after the leucotomy. Tics and associated behavioral abnormalities disappeared thereafter, to recur at age 67. Long-term follow-up of single cases can help to estimate the role of neurosurgery in the treatment of TS.