[Stereotaxic thalamotomy in the combined treatment of Gilles de la Tourette's disease].

The manifestations of Tourette's disease, represent the combination of neurologic and psychopathologic symptomatology. The patients show such manifestations as tics and obsessions while both groups of symptoms are fairly resistant to conservative therapy. The authors describe a case where stereotaxic cryodestruction of the ventrolateral nucleus of the thalamus was applied in addition to the treatment of the patient with medicamentous agents, psychotherapy and measures of social rehabilitation. Of special interest are descriptions of the effects of electric stimulation of different brain structures during the patient's preparation for the final stage of neurosurgical intervention. The patient has been followed up for 1.5 yr.