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Self-injurious behaviour and the Gilles de la Tourette syndrome: a clinical study and review of the literature

Published online by Cambridge University Press:  09 July 2009

Mary M. Robertson ,
M. R. Trimble  and
A. J. Lees
Mary M. Robertson*
Affiliation:
Department of Psychiatry, University College and Middlesex Hospital Schools of Medicine, National Hospitals for Nervous Diseases, Queen Square, London
M. R. Trimble
Affiliation:
Department of Psychiatry, University College and Middlesex Hospital Schools of Medicine, National Hospitals for Nervous Diseases, Queen Square, London
A. J. Lees
Affiliation:
Department of Psychiatry, University College and Middlesex Hospital Schools of Medicine, National Hospitals for Nervous Diseases, Queen Square, London
*
1Address for correspondence: Dr M. M. Robertson, Academic Department of Psychiatry, University College and Middlesex Hospital Schools of Medicine, Middlesex Hospital, London WIN 8AA.
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Synopsis

Thirty (33%) of 90 patients with the Gilles de la Tourette syndrome exhibited selfinjurious behaviour. Fourteen were head bangers, of whom two had cavum septum pellucidum. Clinical correlates of self-injury were the severity of Gilles de la Tourette syndrome symptoms and psychopathology, with special reference to obsessionality and hostility. We discuss an additional patient who died from a subdural haematoma as a result of head banging, and three who had permanent vision impairment from self inflicted eye injuries.

Type
Original Articles
Information
Psychological Medicine , Volume 19 , Issue 3 , August 1989 , pp. 611 - 625
Copyright
Copyright © Cambridge University Press 1989

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