Restricted accessResearch articleFirst published online 1987-3
A Second Visually Impaired,Mentally Retarded Male with Pervasive Developmental Disorder,Tourette Disorder and Ganser's Syndrome: Diagnostic Classification and Treatment
The authors report a second visually impaired, mentally retarded male who presents with symptoms consistent with atypical pervasive developmental disorder, Tourette disorder, and a syndrome of approximate answers (Ganser's syndrome). Both this case and an earlier reported case are significant in that they identify two children with strikingly similar long-standing symptoms and developmental histories. Since these findings may have broader relevance to children with multiple coexisting disorders, diagnostic and intervention strategies in this population are reviewed.
Get full access to this article
View all access options for this article.
References
1.
BurdL. and KerbeshianJ., Tourette Syndrome, Atypical Pervasive Developmental Disorder and Ganser Syndrome in a Fifteen-Year-Old, Visually Impaired, Mentally Retarded Boy, Canadian Journal of Psychiatry, 30, pp. 74–76, 1985.
2.
GoldinD. and McDonaldJ. E., The Ganser State, Journal of Mental Science, 101, pp. 267–268, 1955.
3.
TosiW. F., The Ganser Syndrome in Singapore: A Report on Ten Cases, British Journal of Psychiatry, 123, pp. 567–572, 1973.
4.
WhitlockF., The Ganser Syndrome, British Journal of Psychiatry, 113, pp. 19–29, 1967.
5.
WeinerH. and BraimanA., The Ganser Syndrome, American Journal of Psychiatry, 111, pp. 767–773, 1955.
6.
ParragaH. C. and ButterfieldP. T., Tourette's Syndrome and Anophthalmia in a Girl: Complex Differential Diagnosis, Canadian Journal of Psychiatry, 28, pp. 206–209, 1983.
7.
JanJ. E.FreemanR. D.McCormickA. Q., Eye-Pressing by Visually Impaired Children, Developmental Medicine and Child Neurology, 25, pp. 755–762, 1983.
8.
CohenD. J.DetlorJ.ShaywitzB., and LechmanJ., Interaction of Biological and Psychological Factors in the Natural History of Tourette Syndrome: A Paradigm for Childhood Neuro-Psychiatric Disorders, in Advances In Neurology, Volume 35, FriedhoffA. J. and ChaseT. N. (eds.), Raven Press, New York, pp. 31–41, 1982.
9.
CohenD. J.LeckmanJ. F., and ShaywitzB. A., The Tourette Syndrome and Other Tics, in A Clinician's Guide to Child Psychiatry, ShafferD.EhrhartA. A., and GreenhillL. (eds.), Macmillan Free Press, New York, pp. 3–28, 1984.
10.
ComingsD. E. and ComingsG. B., Tourette's Syndrome and Attention Deficit Disorder-Are They Genetically Related?Journal of the American Academy of Child Psychiatry, 23, pp. 138–146, 1984.
11.
American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, 3rd edition, Washington, D.C., 1980.
12.
BlissJ., Sensory Experiences of Gilles de La Tourette's Syndrome, Archives of General Psychiatry, 37; pp. 1343–1348, 1980.
13.
BurdL.KerbeshianJ.FisherW., and BarcomeD., Pseudohemiparesis and Tourette Syndrome, Journal of Child Neurology, (in press).
14.
FisherW.BurdL., and KerbeshianJ., Integrating Developmental Pharmacologic and Psychological Diagnosis and Management through the Transdiciplinary Team Process, Rehabilitation Literature, 46, pp. 268–271, 1985.
15.
KerbeshianJ.BurdL.FisherW.MartsolfJ. T., and WikenheiserM., Gilles de La Tourette Disorder in Multiple Handicapped Children, Rehabilitation Literature, 46, pp. 255–258, 1985.
