Diagnosis and Treatment of Comorbidities of Tourette's Syndrome and Bipolar Disorder in a 10-Year-Old Boy

情緒症狀是妥瑞氏症個案常伴隨的問題之一，因此，在這些個案中評估是否有躁症發作，深具挑戰性，而治療同時有躁症及妥瑞氏症的兒童也尚未被詳細研究。以下報告一個年紀10歲而同時有妥瑞氏症及躁症、經lithium及risperidone治療成功的個案。個案7歲時被診斷為妥瑞氏症，在10歲時遭遇第一次躁症發作且合併有妥瑞氏症。個案曾接受過haloperidol，risperidone及aripiprazole等單一藥物治療，但效果不佳，在合併lithium及risperidone治療下，其臨床症狀有明顯改善。評估妥瑞氏症患者中是否有合併躁鬱症具有重要性，而如何處理同時有躁鬱症及妥瑞氏症的兒童，是臨床上的重要議題。我們提出的報告可做為未來持續研究的基礎。

關鍵字

雙極性情緒疾病；兒童；妥瑞氏症

並列摘要

Changes in moods are one of the comorbid psychiatric manifestations that frequently occur in patients with Tourette's syndrome. The assessment of a manic episode in children with Tourette's syndrome is challenging. Furthermore, the treatment of children with comorbid mania and Tourette's syndrome has not been extensively studied. We present a 10-year-old boy who suffered from both Tourette's syndrome and mania, whose symptoms improved after using lithium and risperidone. The child was diagnosed with Tourette's syndrome at 7 years of age when he suffered from tics and experienced his first manic episode. He received monotherapy, including haloperidol, risperidone and aripiprazole, and the response was poor. When the combination of lithium and risperidone was used, the tics and mania subsided. It is important to assess individuals with Tourette's syndrome for associated bipolar disorder. The treatment of children with both disorders is a major clinical issue, and our case may serve as an example for successful treatment strategies.

並列關鍵字

bipolar disorder ； child ； Tourette's syndrome

國際替代計量

Diagnosis and Treatment of Comorbidities of Tourette's Syndrome and Bipolar Disorder in a 10-Year-Old Boy

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