Author/Authors :
Monaco، نويسنده , , Francesco and Servo، نويسنده , , Serena and Cavanna، نويسنده , , Andrea Eugenio Cavanna، نويسنده ,
Abstract :
Virtually no neurologist nor psychiatrist today can be unaware of the diagnosis of Gilles de la Tourette syndrome (GTS). Although the eponymous description by Dr. Georges Gilles de la Tourette was published in 1885, familiarity with this syndrome has been achieved only recently. In this article, the two most renown accounts of exceptional individuals retrospectively diagnosed with GTS are critically analyzed: British lexicographer Samuel Johnson and Austrian musician Wolfgang Amadeus Mozart. In both cases, clinical descriptions have been retrieved from written documents predating Gilles de la Touretteʹs original publication. The case for Samuel Johnson having GTS is strong, mainly based on Boswellʹs extensive biographical account. Johnson was reported to have a great range of tics and compulsions, including involuntary utterances, repetitive ejaculations, and echo-phenomena. On the other hand, there is circumstantial evidence that Mozart may have had hyperactivity, restlessness, sudden impulses, odd motor behaviors, echo/palilalia, love of nonsense words, and scatology, the latter being documented in autograph letters (“coprographia”). However, the evidence supporting the core features of GTS, i.e., motor and vocal tics, is rather inconsistent. Thus, GTS seems to be an implausible diagnosis in Mozartʹs medical history and completely unrelated to his undisputed musical genius.
Keywords :
Gilles de la Tourette syndrome , Famous people , Samuel Johnson , Wolfgang Amadeus Mozart , Tics