All that glitters is not gold: When motor and vocal tics in a child do not match Tourette syndrome: A case report

• Main Authors: Raquel Quimas Molina da Costa, Rogério Paysano Marrocos, Marco Antonio Araujo Leite, Fabio Henrique Gobbi Porto
• Format: Article
• Language: English
• Published: Associação Neurologia Cognitiva e do Comportamento
• Series: Dementia & Neuropsychologia
• Subjects: PKAN; Tourette syndrome; neurodegeneration; Tourettism; pantothenate kinase
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1980-57642016000300251&lng=en&tlng=en

ABSTRACT The atypical form of Pantothenate Kinase-Associated Neurodegeneration (PKAN) tends to present at around the age of 14 years, has a heterogeneous presentation with extrapyramidal symptoms, and approximately one third of patients exhibit psychiatric problems. This paper reports the case of a patient with apparent typical symptoms of Tourette syndrome. However, the severity and poor response to treatment led to further investigation and the diagnosis of PKAN as a secondary cause of Tourettism was reached.