A Case of Gilles de la Tourette's Syndrome with some Observations on Aetiology and Treatment

1970 ◽  
Vol 116 (534) ◽  
pp. 539-541 ◽  
Author(s):  
N. Prabhakaran

Gilles de la Tourette's syndrome has not been reported outside Europe and America, and all the patients reported have been of the white or negro races (Singer, 1963). Although the condition was described as early as in 1825 by Itard and later differentiated as a syndrome by Gilles de la Tourette (1885), and although the syndrome is an unusual condition with undetermined aetiology, treatment and prognosis (Eisenberg et al., 1959, Kelman, 1965), and Kinnier Wilson (1940) had given the syndrome ‘a sinister’ outlook characteristically ending in insanity, Fernando (1967) could find only 85 cases published in English literature as cases of the syndrome. He rejected 20 cases, and of the 65 ‘proven cases' 50 were from the United States, 13 from Britain, one each from Finland and Canada. Shapiro and Shapiro (1968) commented on the scarcity of the syndrome even in the Western culture. Extensive search in the literature has shown that Gilles de la Tourette's syndrome has not been reported in Asians. This paper presents a detailed report of the first case from India.

1968 ◽  
Vol 114 (508) ◽  
pp. 345-350 ◽  
Author(s):  
Arthur K. Shapiro ◽  
Elaine Shapiro

Gilles de la Tourette's syndrome is an unusual condition with undetermined aetiology, treatment, and prognosis (1, 2, 3). Less than 50 case studies have been reported in the literature. This paper will present a detailed report of a case treated for 18 months, and brief summaries of two cases treated for three weeks.


1967 ◽  
Vol 113 (499) ◽  
pp. 607-617 ◽  
Author(s):  
S. J. M. Fernando

The syndrome of multiple motor tics accompanied by explosive utterances was originally described by Itard (1825) and later differentiated as a syndrome by Gilles de la Tourette (1885). Koster (1899) discovered two cases among 2,500 patients admitted to a hospital for nervous diseases in Leipzig and found only 50 recorded cases in the literature available to him. Since then, cases have been reported from Germany (Strauss, 1927), Switzerland (Heuscher, 1950), Poland (Dolmierski and Klossowna, 1958), France (Seignot, 1961), Finland, (Salmi, 1961) and Canada (Baker, 1962), in addition to several from the United States and Great Britain (see below). Mahler et al. (1945) found that 18 out of 541 children admitted to a children's ward in a New York psychiatric hospital had tics, but only 11 of them suffered from “the tic syndrome” (Mahler and Luke, 1946)—a synonym for Gilles de la Tourette's syndrome. Ascher (1948) found four cases of this condition among 9,000 in-patients and 50,000 out-patients at a psychiatric centre in Baltimore. There was only one case detected among 5,300 children attending an education guidance centre in Turku, Finland (Salmi, 1961). Creak and Guttman (1935) found 14 cases in which tics were noted in the diagnosis among in-patients of the Maudsley Hospital, London, between 1932 and 1935. The rarity of Gilles de la Tourette's syndrome is such that a review of published case reports is the only feasible method of surveying the broad aspects of the condition. Three cases treated at Runwell Hospital, Wickford, Essex, and a fourth case treated personally in London are presented and published case reports reviewed.


2018 ◽  
Vol 57 (2) ◽  
Author(s):  
Ravikiran Vasireddy ◽  
Sruthi Vasireddy ◽  
Barbara A. Brown-Elliott ◽  
Alexander L. Greninger ◽  
Rebecca M. Davidson ◽  
...  

ABSTRACTWe characterize three respiratory isolates of the recently described speciesMycobacterium talmoniaerecovered in Texas, Louisiana, and Massachusetts, including the first case of disease in a patient with underlying cystic fibrosis. The three isolates had a 100% match toM. talmoniaeNE-TNMC-100812Tby complete 16S rRNA,rpoBregion V, andhsp65 gene sequencing. Core genomic comparisons between one isolate and the type strain revealed an average nucleotide identity of 99.8%. The isolates were susceptible to clarithromycin, amikacin, and rifabutin, while resistance was observed for tetracyclines, ciprofloxacin, and linezolid.M. talmoniaeshould be added to the list of potential pulmonary pathogens, including in the setting of cystic fibrosis.


Author(s):  
Noel Maurer

This chapter explores how the United States' return to the empire trap played out, starting with Franklin Roosevelt in Mexico through Eisenhower in Guatemala and faraway Iran. Under Franklin Roosevelt, the United States began to provide foreign aid (in the form of grants and loans) and rolled out perhaps the first case of modern covert action against the government of Cuba. Both tools were perfected during the Second World War, which saw the creation of entire agencies of government dedicated to providing official transfers and covertly manipulating the affairs of foreign states. In addition, the development of sophisticated trade controls allowed targeted action against the exports of other nations. For example, after 1948 the United States could attempt to influence certain Latin American governments by granting or withholding quotas for sugar.


Author(s):  
Sam B. Edwards III

The United States is facing challenges in applying First Amendment principles from the eighteenth century to modern communications. Speech and assembly in the eighteenth century was extremely limited when compared to speech now. This chapter examines two cases where the government has intruded upon fundamental rights contained in the First Amendment. In the first case, a government, in an effort to stop a protest, cut off all wireless mobile and Internet communications. This amounted to a digital gag and ear plugs for the protesters. In this case, the responsible government officials did not even contemplate that this might violate the fundamental rights of the protesters. In the second case, government employees were fired for using Facebook to “like” the page of a political candidate. The trial court ruled that “liking” on Facebook was not speech and therefore did not garner constitutional protection. These two cases represent warning signs that the United States, just like other countries, is struggling to adapt eighteenth century legal principles to modern communication. The digital revolution is happening in the United States and the courts will eventually have to develop a new set of rules based on the principles in the First Amendment.


2002 ◽  
Vol 8 (10) ◽  
pp. 1029-1034 ◽  
Author(s):  
Marc S. Traeger ◽  
Steven T. Wiersma ◽  
Nancy E. Rosenstein ◽  
Jean M. Malecki ◽  
Colin W. Shepard ◽  
...  

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