The atypical form of Pantothenate Kinase-Associated Neurodegeneration (PKAN) tends to present at around the age of 14 years, has a heterogeneous presentation with extrapyramidal symptoms, and approximately one third of patients exhibit psychiatric problems. This paper reports the case of a patient with apparent typical symptoms of Tourette syndrome. However, the severity and poor response to treatment led to further investigation and the diagnosis of PKAN as a secondary cause of Tourettism was reached.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5642424PMC
http://dx.doi.org/10.1590/S1980-5764-2016DN1003014DOI Listing

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