Longitudinal evolution of prefrontal leucotomy in Tourette'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 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.

• Authors: J Kulisevsky, M L Berthier, A Avila
• Journal: Movement disorders : official journal of the Movement Disorder Society (Mov Disord) Vol. 10 Issue 3 Pg. 345-8 (May 1995) ISSN: 0885-3185 [Print] United States
• PMID: 7651455 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Brain Mapping
• Dominance, Cerebral (physiology)
• Humans
• Longitudinal Studies
• Male
• Prefrontal Cortex (physiopathology, surgery)
• Psychosurgery
• Tourette Syndrome (physiopathology, surgery)
• Treatment Outcome