We examined an inpatient patient who was admitted to the Otorhinolaryngology Department of the ASMI clinics with complaints of involuntary movements in the form of grunting, during the day, ceasing at night during sleep. With the appointment of topiromat preparations (topepsil 100 mg / day), in addition to the taken tiapride (tiaprosan at a dosage of 200 mg / day), a decrease and disappearance of vocal tics was noted in several days. The described features inherent in vocal tics allow us to conclude that the combined use of anticonvulsants and tiapriides is effective in treating patients with extensive use of the frontostriatal systems.

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