FAMILIAL PAROXYSMAL KINESIGENIC CHOREOATHETOSIS IN A CHILD WITH VISUAL HALLUCINATIONS AND OBSESSIVE-COMPULSIVE BEHAVIOR

A teenage male is described, in whom Tourette Syndrome was suspected, which was later replaced by attacks of paroxysmal kinesigenic choreo-a thetosis. He also exhibited bizarre, episodic perceptual distortions o f his visual environment and manifestations of an obsessive-compulsive disorder. Carbamazepine treatment not only completely eliminated the recurring attacks of his choreo-athetosis but also, contrary to expect ations, the visual disturbances and even the symptoms of his obsessive -compulsive disorder. Obsessive compulsive disorder should be searched for by direct questioning in all patients with basal ganglia disorder s.