Open AccessTourette’s syndrome associated with Attention Deficit Hyperactivity Disorder: a case report
Author(s) -
Amanda Zovico Miranda,
Laura Altoe Padovan,
Sandra Souza Meirelles
Publication year - 2021
Language(s) - English
Resource type - Conference proceedings
DOI - 10.5327/1516-3180.041
Subject(s) - methylphenidate , risperidone , tics , psychology , quetiapine , psychiatry , attention deficit hyperactivity disorder , tourette syndrome , haloperidol , impulsivity , context (archaeology) , antipsychotic , comorbidity , pediatrics , medicine , schizophrenia (object oriented programming) , dopamine , neuroscience , paleontology , biology
Context: The treatment of Giles de la Tourette Syndrome associated with Attention Deficit Hyperactivity Disorder (ADHD) has little scientific evidence. Case report: 7- year-old child, who started motor tics and vocalizations, compatible with Tourette Syndrome, 6 months after starting the treatment of ADHD with psychostimulant, methylphenidate 20mg/day. He used imipramine, quetiapine and haloperidol, but only showed control of ADHD and tics using Ritalin LAR 30mg/day and risperidone. The hypothesis of a cause-effect relationship of the use of methylphenidate with the appearance of tremors and tics was considered. Theoretical survey and discussion on the syndrome and its clinical management associated with comorbidity, the lack of studies on the long-term effects of methylphenidate and the importance of treating comorbidities taking into account side effects of medications and not just resolution of symptoms, so that effects do not outweigh the benefits compromising neurodevelopment and learning in childhood and adolescence. Conclusions: This case showed no improvement with the use of the atypical antipsychotic (quetiapine), but corroborates the findings of treatment of inattention, hyperactivity and impulsivity with the use of methylphenidate (Ritalin LAR) and motor tics and screams with haloperidol (partial improvement) and risperidone (complete cessation).