2008 年 18 巻 2 号 p. 96-100
This report describes a case of bite wounds on the tongue and buccal mucosa in a boy with Gilles de la Tourette's syndrome (GTS).
The boy had developed progressive multiple motor tics on the face, neck, and body. In January 2007, when he was 11 years old, vocal tics associated with simple sound developed. These tics eventually prevented the boy from going to school. Consultation with a pediatric neurological clinic resulted in a diagnosis of GTS, and the patient was managed by medication with Serenace®, Depromel®, and Risperdal®. In spite of the medication, however an oral ulcer, considered to have resulted from a bite wound, developed in August 2007. Therefore, he was referred to our clinic by a physician on February_??_, 2008.
Clinical examination showed an ulcer on the left retro-molar region and the front side of the tongue. The wound was thought to have resulted from a self-inflicted bite. Oral splint treatment was applied for 4 weeks in order to prevent any further oral mutilation, and this allowed to heal. Since then, the patient has shown some improvement of the GTS symptoms, and currently there is no evidence of oral mutilation.