DOI: https://doi.org/10.36347/sjmcr.2026.v14i06.051

Pages: 1528-1535

Background: Neurodevelopmental disorders frequently co-occur, yet their simultaneous presentation in a single patient poses substantial diagnostic and therapeutic challenges. We report the case of a 10-year-old Moroccan boy referred for academic difficulties, attentional problems, and motor tics, in whom a comprehensive psychiatric evaluation revealed four concurrent neurodevelopmental. diagnoses: Autism Spectrum Disorder (ASD), Tourette Syndrome (TS), Attention-Deficit/Hyperactivity Disorder (ADHD), and a Fluency Disorder (stuttering). Case Presentation: Mohamed Rayan, a 10-year-old male, presented with a longstanding history beginning in early childhood with language delay, limited eye contact, absent pointing, non-response to his name, echolalia, and motor stereotypies. At school age, significant inattention and hyperactivity emerged. Approximately two years prior to consultation, simple motor and vocal tics appeared, followed one year later by washing rituals. The recent dramatic increase in tic frequency and severity prompted the current consultation. Standardized assessments (SNAP-IV, Conners, M-CHAT, ADI, Vineland-II) confirmed the diagnoses. The patient was initiated on clonidine 0.15 mg/day with notable early improvement in tics. Conclusion: This case illustrates the high phenotypic complexity that can arise from neurodevelopmental comorbidity. Early recognition, systematic evaluation, and a multimodal, individualized management plan are essential to optimize outcomes in such patients.