Marneros A
Fortschr Neurol Psychiatr. 1984 Jul;52(7):250-7. doi: 10.1055/s-2007-1002023.
The author describes the Gilles de la Tourette's syndrome. He also reports on a patient in whom the complete pattern of signs of Gilles de la Tourette's syndrome became manifest only in adulthood (after he was past 35 years of age). This complete pattern of signs included multiple facial and vocal tics with generalised motor tics and coprolalia, voluntary control over these signs for a few minutes and chronic progress with varying intensity of the overall pattern. Previous reports on late manifestations of the syndrome had not been recognised and accepted as typical, so that the onset in childhood between 2 and 15 years of age is considered a diagnostic criterion of Gilles de la Tourette's syndrome. However, in view of the case presented here, the author suggests that, although onset of this syndrome in adulthood is certainly rare, it cannot be excluded as impossible.
作者描述了 Gilles de la Tourette 综合征。他还报告了一名患者，该患者 Gilles de la Tourette 综合征的完整症状模式直到成年期（35 岁以后）才显现出来。这种完整的症状模式包括多种面部和发声抽动、全身性运动抽动以及秽语症，能够对这些症状进行几分钟的自主控制，并且整体症状模式呈慢性进展，强度各异。此前关于该综合征晚期表现的报道未被认可为典型病例，因此 2 至 15 岁儿童期发病被视为 Gilles de la Tourette 综合征的诊断标准。然而，鉴于此处所呈现的病例，作者认为，尽管该综合征在成年期发病确实罕见，但不能排除其发生的可能性。
