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How Much Do We Know about Adult-onset Primary Tics? Prevalence, Epidemiology, and Clinical Features Cover

How Much Do We Know about Adult-onset Primary Tics? Prevalence, Epidemiology, and Clinical Features

By: Daphne Robakis  
Open Access
|May 2017

Figures & Tables

Table 1

Reported Cases of Idiopathic, Adult-onset Tic Disorders

ReferenceNo. of CasesSexAge at OnsetAssociated Psychiatric SymptomFamily HistoryTicsBody Part or Description of TicTreatmentCourse
Agrawal and Shrestha261F25NoneNo ticsSimple motorBilateral ear movementsHaloperidol, benztropine, clonidine, and clonazepam not effective. Improvement with verapamil-
Araneta et al.271M35AnxietyNoneMotor and vocal ticsWhistling, smacking lips, making involuntary noises, kicking and crossing leg, grunting, shoulders movement, echolalia and coprolaliaTemporary improvement with haloperidol, thiorizadine, chloropromazine. Poor response to valium, artane, ECT.Waxed and waned
Chouinard and Ford57M24NoneTicsMultiple motorNeck/armsNo benefit from trihexiphenydil, clonazepam, tetrabenazine, pimozideStable over 2 years
M30NoneTicsVocal and multiple motor ticsFace/armsImproved on verapamilWaxed/waned over 45 years
M40NoneTicsMultiple motorFaceNo benefit from diazepam, clonazepamWax and waned over 4 years
M42OCDTicsMultiple motorFace/neckUntreatedImproved over 6 years
M49OCDTicsMultiple motorFace/neck/armsNo benefit from clonazepam, haloperidol, pimozideWaxed and waned over 1.5 years
M46OCDTicsPhonicface/larynx; respiratory ticImprovement on diazepamWaxed and waned over 3 years
M25OCDTicsMultiple verbalCoprolaliaUntreatedWaxed and waned over 15 years
Eapen et al.43M30AnxietyMultiple motor and vocalSniffing, throat-clearing, clicking, humming; head, face, and extremity ticsSide effect with sulpirideImproved off medication
M57Obsessive traits, depressionMotor and vocalface, shoulder, extremities; sniffing, coughingDid not warrant medication-
M26OCBMultiple motor and vocalPalilaliaSide effect with sulpiride-
Erro et al.251M36DepressionDepression in one patientMotor dystonic, clonicBoNT: partial benefit; trihexyphenydil, baclofen, tetrabenazine: no benefit
M25AnxietyMotor dystonic, clonic, phonicBoNT: improvement
M30DepressionMotor dystonic, clonic, phonicBoNT: improvement
M40NoneMotor dystonicBoNT: improvement
M35Panic attacks, paranoiaMotor dystonic, clonicBoNT: no benefit
M50NoneMotor dystonic + clonicBoNT: improvement
M70NoneMotor dystonic + clonicBoNT: improvement
M40NoneMotor dystonic, clonic, phonicBoNT: improvement
M65NoneMotor dystonicBoNT: improvement
M31Drug addiction, anxiety, depressionMotor dystonic, clonic, phonic
F40NoneMotor dystonic, clonic, phonicBoNT: improvement
Fliman and Dickman281M66Depression, psychosisTicsVocal and motor tics, echolalia, palilalia, echopraxiaNo benefit with thioridazine and perphenazine; good response to clonidine
Marneros291M35HyperactivityTicsMotor and vocalCoprolaliaNo benefit with neuroleptics, antidepressants, or anticonvulsants; slight relief with haloperidol
Sutula and Hobbs301M81NoneNo ticsMultiple motor and vocalGuttural sounds, belching, barking noises, repeating “boogie” (palilalia), grunts, belching, grimacing, and spittingComplete cessation of symptoms with haloperidol
Total reported2625MMean: 14.9, SD 20.9

[i] Abbreviations: BoNT, Botulinum Toxin; ECT, Electroconvulsive Therapy; OCB, Obsessive Compulsive Behavior; OCD, Obsessive Compulsive Disorder; SD, Standard Deviation.

DOI: https://doi.org/10.5334/tohm.373 | Journal eISSN: 2160-8288
Language: English
Submitted on: Nov 30, 2016
Accepted on: Apr 20, 2017
Published on: May 17, 2017
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2017 Daphne Robakis, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.