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Tourette syndrome with clonic and dystonic tics and vocalizations

Tourette syndrome with clonic and dystonic tics and vocalizations

This 18-year-old woman has longstanding motor and phonic tics. Examination shows motor tics in the arms, especially repetitive, rotatory movements of the scapula, a very typical dystonic tic. She also displays stereotypic movements of the hands and loud vocalizations. EMG shows short-duration bursts (shorter than 100 ms) consistent with clonic tics and longer duration bursts (longer than 100 ms) consistent with dystonic or tonic tics. (Contributed by Dr. Joseph Jankovic.)

Associated Disorders

  • Antisocial behavior
  • Anxiety disorders
  • Attention deficit hyperactivity disorder
  • Catatonia
  • Depression
  • Impulse control disorder
  • Learning disabilities
  • Mania
  • Mood disorders
  • Obsessive-compulsive disorder
  • Oppositional defiant behavior
  • PANDAS
  • Personality disorders
  • Phobias
  • Self-injurious behaviors
  • Sleep disorders