Georges Gilles de la Tourette


Georges Albert Édouard Brutus Gilles de la Tourette was a French neurologist and the namesake of Tourette syndrome, a neurological condition characterized by tics. His main contributions in medicine were in the fields of hypnotism and hysteria.

Early years

Gilles de la Tourette was born the oldest of four children on 30 October 1857 in the small town of Saint-Gervais-les-Trois-Clochers in the district of Châtellerault, near the city of Loudun.
During 1873, Gilles de la Tourette began medical studies at Poitiers at the age of sixteen. In 1881, he relocated to Paris, where he continued his studies at the Laennec Hospital.

Career

Gilles de la Tourette began his internship in 1884, working "at a superhuman pace, publishing, teaching and practicing clinical medicine". He became a student, amanuensis, and house physician of his mentor, the influential contemporary neurologist Jean-Martin Charcot, director of the Salpêtrière Hospital. Charcot also helped him to advance in his academic career. Tourette studied and lectured in psychotherapy, hysteria and medical and legal ramifications of mesmerism. Colleagues and historians have described Gilles de la Tourette as a "highly intelligent, if irascible, character".
In 1884, Charcot asked Gilles de la Tourette to work on motor disorders; latah, myriachit and the Jumping Frenchmen of Maine had recently been described, and Gilles de la Tourette believed the conditions were related and separate from chorea. Gilles de la Tourette described the symptoms of Tourette syndrome in one patient and collected previous observations of similar cases, and in 1885 he published a further nine cases using the name "maladie des tics" for the disorder. Charcot renamed the syndrome "Gilles de la Tourette's illness" in his honor, although Gilles de la Tourette's work was not well received at Salpêtrière.
Gilles de la Tourette published an article on hysteria in the German Army, which angered Bismarck, and a further article about unhygienic conditions in the floating hospitals on the river Thames. With Gabriel Legué he analyzed 17th century abbess Jeanne des Anges' account of her hysteria that was allegedly based on her unrequited love for a priest Urbain Grandier, who was later burned for witchcraft.

Personal life and decline

Gilles de la Tourette married his cousin Marie Detrois on 2 August 1887 in Loudon. Paul Brouardel and Charcot were witnesses. They had four children, three of whom lived to adulthood.
In 1893, a former female patient who was later revealed to have psychosis shot Gilles de la Tourette in the neck, claiming one of his colleagues had hypnotized her against her will. His mentor, Charcot, had died recently, and his young son had also died recently. Although he recovered from the shooting and continued to work and organize lectures, after these events, Gilles de la Tourette began to display symptoms of severe depression. After 1893, his mental health noticeably declined.
In 1901, Charcot's son, Jean-Baptiste, convinced Gilles de la Tourette to travel to Switzerland on a ruse, and had him committed to a psychiatric hospital, where Gilles de la Tourette was diagnosed with tertiary syphilis. His condition worsened and he was forced to resign. His wife and colleagues were not forthcoming about the causes of his internment. He died on 22 May 1904 with advanced dementia at the Lausanne Psychiatric Hospital in Cery from what was labeled a status seizure, and that his wife described as apoplexy. Lees states that "Gilles de la Tourette died of general paralysis of the insane ".

Writings

Gilles de la Tourette published sixteen papers on hysteria, including: