Longitudinal evolution of prefrontal leucotomy in Tourett's syndrome

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 behaviorial 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.

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