Abstract
According to the DSM-IV-TR criteria, the diagnosis of Tourette syndrome (TS) includes onset before the age of 18 years. However, the symptoms of TS may persist into adulthood, and rarely a major tic disorder may begin for the first time in adults. Compared to childhood-onset TS, adult patients with severe tic disorders have significantly more facial and truncal tics, and there is an association with substance abuse and mood disorders. They have fewer phonic tics and a lower incidence of attention deficit-hyperactivity disorder. However, most of the time, severe tic disorders in adults probably represent a reappearance or exacerbation of childhood-onset TS.
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References
Jankovic J, Gelineau-Kattner R, Davidson A. Tourette’s Syndrome in adults. Mov Disord. 2010;25:2171–5.
Eapen V, Less AJ, Lakke JP, et al. Adult-onset tic disorders. Mov Disord. 2002;17:735–40.
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The patient exhibits repetitive stereotypic movements consisting of large amplitude head shaking to one side. His left shoulder is elevated and there is a mild left laterocollis. The tics appear to subside while speaking.
Adult onset tic disorder.mp4 (MP4 15,866KB)
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© 2012 Springer Science+Business Media New York
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Bhidayasiri, R., Tarsy, D. (2012). Adult Onset Tic Disorder. In: Movement Disorders: A Video Atlas. Current Clinical Neurology. Humana, Totowa, NJ. https://doi.org/10.1007/978-1-60327-426-5_108
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DOI: https://doi.org/10.1007/978-1-60327-426-5_108
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Publisher Name: Humana, Totowa, NJ
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Online ISBN: 978-1-60327-426-5
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