Dystonic tics in patients with Tourette's syndrome.
Identifieur interne : 004E17 ( PubMed/Curation ); précédent : 004E16; suivant : 004E18Dystonic tics in patients with Tourette's syndrome.
Auteurs : J. Jankovic [États-Unis] ; L. StoneSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1991.
English descriptors
- KwdEn :
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity (epidemiology), Attention Deficit Disorder with Hyperactivity (physiopathology), Blepharospasm (physiopathology), Child, Comorbidity, Dystonia (epidemiology), Dystonia (physiopathology), Female, Humans, Male, Ocular Motility Disorders (physiopathology), Texas (epidemiology), Tic Disorders (epidemiology), Tic Disorders (physiopathology), Tourette Syndrome (epidemiology), Tourette Syndrome (physiopathology).
- MESH :
- geographic , epidemiology : Texas.
- epidemiology : Attention Deficit Disorder with Hyperactivity, Dystonia, Tic Disorders, Tourette Syndrome.
- physiopathology : Attention Deficit Disorder with Hyperactivity, Blepharospasm, Dystonia, Ocular Motility Disorders, Tic Disorders, Tourette Syndrome.
- Adolescent, Adult, Child, Comorbidity, Female, Humans, Male.
Abstract
Dystonic tics, in contrast to clonic tics, are relatively slow and temporarily sustained twisting, pulling, or squeezing movements producing briefly maintained abnormal postures. Because dystonic tics often present diagnostic difficulties, we studied these motor tics in 156 patients with Tourette's syndrome (TS). In addition to clonic motor and vocal/phonic tics, seen in all patients, 89 (57%) of them exhibited one or more dystonic tics. The most common dystonic tics were oculogyric deviations (43 patients), blepharospasm (23), and dystonic neck movements (11). Blinking (110) and facial twitching (86) were the most common clonic tics. Except for possibly a greater familial occurrence, a higher frequency of previous head trauma, and associated attention deficit disorder, the group of patients with dystonic tics did not significantly differ in any of the major clinical variables from those TS patients without dystonic tics. We conclude that dystonic tics are typical motor manifestations of TS and that patients with these motor tics are not different from those with more typical clonic tics.
DOI: 10.1002/mds.870060309
PubMed: 1922130
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pubmed:1922130Le document en format XML
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<author><name sortKey="Jankovic, J" sort="Jankovic, J" uniqKey="Jankovic J" first="J" last="Jankovic">J. Jankovic</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Neurology, Baylor College of Medicine, Houston, TX 77030.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">Texas</region>
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<wicri:cityArea>Department of Neurology, Baylor College of Medicine, Houston</wicri:cityArea>
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<author><name sortKey="Stone, L" sort="Stone, L" uniqKey="Stone L" first="L" last="Stone">L. Stone</name>
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<term>Adult</term>
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<term>Dystonia (epidemiology)</term>
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<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Ocular Motility Disorders (physiopathology)</term>
<term>Texas (epidemiology)</term>
<term>Tic Disorders (epidemiology)</term>
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<term>Tourette Syndrome (epidemiology)</term>
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<keywords scheme="MESH" qualifier="epidemiology" xml:lang="en"><term>Attention Deficit Disorder with Hyperactivity</term>
<term>Dystonia</term>
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<term>Tourette Syndrome</term>
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<front><div type="abstract" xml:lang="en">Dystonic tics, in contrast to clonic tics, are relatively slow and temporarily sustained twisting, pulling, or squeezing movements producing briefly maintained abnormal postures. Because dystonic tics often present diagnostic difficulties, we studied these motor tics in 156 patients with Tourette's syndrome (TS). In addition to clonic motor and vocal/phonic tics, seen in all patients, 89 (57%) of them exhibited one or more dystonic tics. The most common dystonic tics were oculogyric deviations (43 patients), blepharospasm (23), and dystonic neck movements (11). Blinking (110) and facial twitching (86) were the most common clonic tics. Except for possibly a greater familial occurrence, a higher frequency of previous head trauma, and associated attention deficit disorder, the group of patients with dystonic tics did not significantly differ in any of the major clinical variables from those TS patients without dystonic tics. We conclude that dystonic tics are typical motor manifestations of TS and that patients with these motor tics are not different from those with more typical clonic tics.</div>
</front>
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<Abstract><AbstractText>Dystonic tics, in contrast to clonic tics, are relatively slow and temporarily sustained twisting, pulling, or squeezing movements producing briefly maintained abnormal postures. Because dystonic tics often present diagnostic difficulties, we studied these motor tics in 156 patients with Tourette's syndrome (TS). In addition to clonic motor and vocal/phonic tics, seen in all patients, 89 (57%) of them exhibited one or more dystonic tics. The most common dystonic tics were oculogyric deviations (43 patients), blepharospasm (23), and dystonic neck movements (11). Blinking (110) and facial twitching (86) were the most common clonic tics. Except for possibly a greater familial occurrence, a higher frequency of previous head trauma, and associated attention deficit disorder, the group of patients with dystonic tics did not significantly differ in any of the major clinical variables from those TS patients without dystonic tics. We conclude that dystonic tics are typical motor manifestations of TS and that patients with these motor tics are not different from those with more typical clonic tics.</AbstractText>
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