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Tourette's syndrome (TS) is the most common cause of tics. Approximately 50% of the patients with this disorder display obsessive-compulsive behavior that is currently regarded as another expression of the TS gene. [1] The term ``tourettism'' describes tics secondary to a recognized cause such as encephalitis, prion disorders, Sydenham's chorea, use of neuroleptics and other drugs, carbon monoxide intoxication, static encephalopathy, mental retardation, stroke in the basal ganglia, head trauma, neurocutaneous syndromes, chromosomal disorders, and other conditions. [1] We describe a patient who developed persistent tourettism associated with other hyperkinesias and obsessive-compulsive behavior following ethanol withdrawal, a hitherto unrecognized complication of alcohol abuse.
Case report.
A 27-year-old craftsman presented for evaluation of facial and cervical involuntary movements that started 4 years earlier, 10 days after he stopped drinking alcohol. Besides the movement disorder, the patient also developed obsessive-compulsive behavior expressed by repetitive checking and keeping a …
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