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Bilateral Shoe Deterioration as a Result of Complex Motor Tics in Tourette Syndrome
James W. Mitchell, B.Med.Sci.; Andrea E. Cavanna, M.D., Ph.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E22-E23. doi:10.1176/appi.neuropsych.13040076
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The authors thank the Tourette Syndrome Association (United States) and Tourettes Action (United Kingdom) for their continuing support.

Michael Trimble Neuropsychiatry Research Group, Dept. of Neuropsychiatry, BSMHFT and University of Birmingham, United Kingdom

Michael Trimble Neuropsychiatry Research Group, Dept. of Neuropsychiatry, BSMHFT and University of Birmingham, United Kingdom
School of Life and Health Sciences, Aston University, Birmingham, United Kingdom
Sobell Dept. of Motor Neuroscience and Movement Disorders, Institute of Neurology, University College London, United Kingdom
Dept. of Public Health, Neuroscience, Experimental and Forensic Medicine, University of Pavia, Italy

Send correspondence to Dr. Cavanna; e-mail: A.Cavanna@ion.ucl.ac.uk

Copyright © 2014 by the American Psychiatric Association


To the Editor: Tourette syndrome (TS) is a neurodevelopmental condition characterized by motor and phonic tics, commonly presenting with comorbid behavioral problems.1 We report the case of a patient with TS who presented with salient complex motor symptoms.

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FIGURE 1. Bilateral Shoe Deterioration Present After Approximately 1 Week of Continuous Wear for All Shoe Types


Cavanna  AE;  Servo  S;  Monaco  F  et al:  The behavioral spectrum of Gilles de la Tourette syndrome.  J Neuropsychiatry Clin Neurosci 2009; 21:13–23
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Cavanna  AE;  Monaco  F;  Mula  M  et al:  Uneven focal shoe deterioration in Tourette syndrome.  Neuropsychiatr Dis Treat 2006; 2:587–588
[CrossRef] | [PubMed]
Worbe  Y;  Mallet  L;  Golmard  J-L  et al:  Repetitive behaviours in patients with Gilles de la Tourette syndrome: tics, compulsions, or both? PLoS ONE 2010; 5:e12959
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Leckman  JF;  Denys  D;  Simpson  HB  et al:  Obsessive-compulsive disorder: a review of the diagnostic criteria and possible subtypes and dimensional specifiers for DSM-V.  Depress Anxiety 2010; 27:507–527
[CrossRef] | [PubMed]
Cavanna  AE;  Cavanna  S;  Bertero  L  et al:  Multiple self injurious behaviours in Gilles de la Tourette syndrome.  J Pediatr Neurol 2009; 7:293–296
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