Disappearance of motor tics after Wernicke's encephalopathy in a patient with Tourette's syndrome

Tourette's syndrome (TS) is a disease characterized by multiple motor and vocal tics as well as behavioral abnormalities. The anatomic substrates of this syndrome are not defined. We report a 48-year-old man with TS in whom motor tics disappeared after the onset of a midbrain syndrome related t...

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Bibliographic Details
Published inNeurology Vol. 48; no. 2; p. 381
Main Authors Pantoni, L, Poggesi, L, Repice, A, Inzitari, D
Format Journal Article
LanguageEnglish
Published United States 01.02.1997
Subjects
Humans
Magnetic Resonance Imaging
Male
Middle Aged
Remission, Spontaneous
Tic Disorders - complications
Tic Disorders - pathology
Tourette Syndrome - complications
Tourette Syndrome - pathology
Wernicke Encephalopathy - complications
Wernicke Encephalopathy - pathology
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Summary:Tourette's syndrome (TS) is a disease characterized by multiple motor and vocal tics as well as behavioral abnormalities. The anatomic substrates of this syndrome are not defined. We report a 48-year-old man with TS in whom motor tics disappeared after the onset of a midbrain syndrome related to thiamine deficiency (Wernicke's encephalopathy). MRI study showed a lesion in the dorsal area of the midbrain. This case suggests that loops located in the midbrain tegmentum may influence the presence of motor tics in patients with TS.
ISSN:0028-3878
DOI:10.1212/WNL.48.2.381