Tourettism in a 73 year-old man after coronary artery by-pass surgery
Rodopman Arman, Ayşe
Gımzal Gönentür, Aylan
Şahin Biçer, Duygu
We present a patient who developed motor and vocal tics eight moths after a coronary artery bypass graft surgery (CABGS). The patient demonstrated a few motor tics like picking, blowing his nose and a vocal tic in the form of shouting. He also described premonitory sensory urges. Appearance of these tics for the first time ever after the CABGS in a 73 year-old male patient is the significance of our case. The patient had ischemic regions in the bilateral basal ganglia in the magnetic resonance imaging (MRI) and his single photon emission tomography (SPECT) examination revealed hypoperfusion in right caudate nucleus and bilateral frontotemporoparietal cortex which are the brain regions associated with tic pathogenesis. Although reaching a definitive conclusion is difficult since we do not have preoperative cranial imaging, we suggest that tics might have appeared as a result of perfusion abnormality he had incurred during the CABGS.