Gilles de la Tourette Syndrome

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Abstract
CERTAIN PSYCHIATRIC problems, because of their unusual nature, bear recording in the literature. Gilles de la Tourette's syndrome is such a disorder, and since the prognostic implications are uniformly poor, successful management bears scrutiny. A report of cases and review of the literature was made by Eisenburg et al, in 1958, and is a landmark in the documentation of this disorder.1 These authors describe the syndrome as follows. The typical case history reveals the following course with almost undeviating regularity. The illness begins in childhood, usually before the age of ten and most often at six or seven with tics of the upper part of the body−face, shoulder, or arms. The tics are explosive in nature, initially transient, and noted to be worse under stress, fatigue, or excitement. As the disease progresses, intervals of relative freedom from the tics become less frequent and the

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