A Different Symptom Associated with Tics in Tourette’s Syndrome: Vomiting

Tourette sendromunda tik ile ilişkili farklı bir belirti: KusmaTourette sendromunda (TS) ortaya çıkan kusma tikler ile ilişkili olan ve nadir olarak bildirilen bir belirtidir. Ayrıntılı fiziksel inceleme ile tetkikler sonucunda organik bir patoloji bulunmaması ve yeme bozuklukları gibi diğer psikopatolojilerin dışlanması, kusma davranışının tik ya da tik ile ilişkili bir belirti olarak ayırt edilebilmesini sağlar. Bu olgu sunumunda, ses çıkartan bir yutkunma davranışının ardından buna bağlı duyduğu rahatsızlık hissi ile karın kaslarını kasarak kusan bir kız olgu tartışılmıştır. Olgunun ayrıca bulaşma obsesyonları da mevcuttur. Yapılan tetkikler ve klinik görüşmelerin ardından olguya TS ve obsesif kompulsif bozukluk tanıları konulmuştur. TS tanısı ile takip edilen bir hastada kusmayla karşılaşan klinisyenin bunun bir tik ya da tik ile ilişkili bir belirti olabileceğini göz önünde bulundurması gerekmektedir

Tourette sendromunda tik ile ilişkili farklı bir belirti: Kusma

A different symptom associated with tics in tourette’s syndrome: vomiting Vomiting is a rarely reported sypmtom associated with tics in Tourette’s syndrome. Absence of an organic pathology after detailed physical examination and tests, and exclusion of other psychopathologies like eating disorders help distinguish vomiting as a tic or a symptom associated with tic. In this case presentation, a girl who was vomiting by contracting her abdominal muscles due to feeling of discomfort after noisy swallowing was discussed. The case also had contamination obsessions. After some tests and clinical discussion, the case was diagnosed as Tourette’s syndrome and obsessive compulsive disorder. A clinician confronting with vomiting in a patient who has been monitored due to Tourette’s syndrome may need to take into account tics or a symptom associated with tics

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