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Senile-Onset Vocal and Motor Tics
Thomas Sutula, MD;
William R. Hobbs, MD
Arch Neurol. 1983;40(13):825-826.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
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Gilles de la Tourette's syndrome is a chronic disorder of fluctuating motor and vocal tics, with onset before age 15 years. We recently saw a patient with no prior history of tics, in whom, at age 81 years, complex motor and vocal tics consistent with Tourette's syndrome developed. Treatment with 1 mg/day of haloperidol was followed by complete cessation of complex motor and vocal tics after five days. The patient met the behavioral criteria for Tourette's syndrome except for age at onset. Vocal and motor tics with Tourette-like features may occur as an acquired defect late in life and can be successfully treated with haloperidol.
REPORT OF A CASE
Motor tics consisting of facial grimaces, mouth and neck movements, and involuntary spitting developed in an 81-year-old black man. These movements were accompanied by vocalizations, such as guttural sounds, belching, barking noises, and articulation of the word "boogie." According to the
. . . [Full Text PDF of this Article]
Author Affiliations
From the Departments of Neurology (Dr Sutula) and Behavioral Medicine (Dr Hobbs), University of Virginia School of Medicine, Charlottesville.
Footnotes
Accepted for publication March 25, 1983.
Presented in abstract form at the First International Gilles de la Tourette Syndrome Symposium, New York, May 28, 1981.
Reprint requests to 6 East—Blue Ridge Hospital, Department of Behavioral Medicine, University of Virginia School of Medicine, Charlottesville, VA 22901 (Dr Hobbs).
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