Severe motor tics causing cervical myelopathy in Tourette's syndrome
Identifieur interne : 002866 ( Istex/Corpus ); précédent : 002865; suivant : 002867Severe motor tics causing cervical myelopathy in Tourette's syndrome
Auteurs : Joachim K. Krauss ; JankovicSource :
- Movement Disorders [ 0885-3185 ] ; 1996-09.
English descriptors
Abstract
We describe two patients with Tourette's syndrome in whom severe motor tics involving the neck were complicated by cervical myelopathy. The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.
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DOI: 10.1002/mds.870110512
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Krauss</name><affiliation><mods:affiliation>Departments of Neurosurgery and Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.</mods:affiliation></affiliation></author><author><name sortKey="Jankovic" sort="Jankovic" uniqKey="Jankovic" last="Jankovic">Jankovic</name><affiliation><mods:affiliation>Department of Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.</mods:affiliation></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">ISTEX</idno><idno type="RBID">ISTEX:F62B558F3E58A2D1D439B952B90E634A78EE1BFB</idno><date when="1996" year="1996">1996</date><idno type="doi">10.1002/mds.870110512</idno><idno type="url">https://api.istex.fr/document/F62B558F3E58A2D1D439B952B90E634A78EE1BFB/fulltext/pdf</idno><idno type="wicri:Area/Istex/Corpus">002866</idno></publicationStmt><sourceDesc><biblStruct><analytic><title level="a" type="main" xml:lang="en">Severe motor tics causing cervical myelopathy in Tourette's syndrome</title><author><name sortKey="Krauss, Joachim K" sort="Krauss, Joachim K" uniqKey="Krauss J" first="Joachim K." last="Krauss">Joachim K. 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The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.</div></front></TEI><istex><corpusName>wiley</corpusName><author><json:item><name>Joachim K. Krauss</name><affiliations><json:string>Departments of Neurosurgery and Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.</json:string></affiliations></json:item><json:item><name>Dr., Professor Jankovic</name><affiliations><json:string>Department of Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Tourette's syndrome</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Tics</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Botulinum toxin</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Cervical myelopathy</value></json:item></subject><language><json:string>eng</json:string></language><abstract>We describe two patients with Tourette's syndrome in whom severe motor tics involving the neck were complicated by cervical myelopathy. The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. 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The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. 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The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><!--Version 0.6 générée le 4-12-2015--><mods version="3.6"><titleInfo lang="en"><title>Severe motor tics causing cervical myelopathy in Tourette's syndrome</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>CERVICAL MYELOPATHY IN TOURETTE'S SYNDROME</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Severe motor tics causing cervical myelopathy in Tourette's syndrome</title></titleInfo><name type="personal"><namePart type="given">Joachim K.</namePart><namePart type="family">Krauss</namePart><affiliation>Departments of Neurosurgery and Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="termsOfAddress">Dr., Professor</namePart><namePart type="family">Jankovic</namePart><affiliation>Department of Neurology, Baylor College of Medicine, Houston, Texas, U.S.A.</affiliation><description>Correspondence: Professor of Neurology, Department of Neurology, Baylor College of Medicine, 6550 Fannin, Suite 1801, Houston, TX 77030, U.S.A.</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre authority="originalCategForm">shortCommunication</genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">1996-09</dateIssued><dateValid encoding="w3cdtf">1996-01-31</dateValid><copyrightDate encoding="w3cdtf">1996</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="references">15</extent></physicalDescription><abstract lang="en">We describe two patients with Tourette's syndrome in whom severe motor tics involving the neck were complicated by cervical myelopathy. The first patients, a 21‐year‐old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42‐year‐old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion‐extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel‐Feil malformation. After cervical decompression by, C3‐C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.</abstract><subject lang="en"><genre>Keywords</genre><topic>Tourette's syndrome</topic><topic>Tics</topic><topic>Botulinum toxin</topic><topic>Cervical myelopathy</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. 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