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Published on: May 27, 2021
Adult onset tics after peripheral injury
1Parkinson's Disease Center and Movement Disorders Clinic, Department of Neurology, Baylor College of Medicine, 6550 Fannin, Suite 1801, Houston, TX 77030, USA.
Parkinsonism & Related Disorders
|February 13, 2007
Summary
Adults can develop motor tics after peripheral trauma, resembling Tourette syndrome (TS) but without other symptoms. This case highlights a unique presentation of tics following shoulder injury.
Area of Science:
- Neurology
- Trauma Medicine
Background:
- Peripheral trauma can precipitate neurological symptoms.
- Adult-onset movement disorders are less common than childhood-onset.
Observation:
- A 43-year-old man experienced motor tics in his left shoulder after a motorcycle accident.
- Symptoms began within two weeks of initial shoulder dislocation and worsened after a second injury.
Findings:
- The patient presented with involuntary jerking movements of the shoulder.
- These movements were clinically similar to tics seen in Tourette syndrome (TS).
- However, the presentation lacked other body part involvement, phonic tics, and common TS comorbidities.
Implications:
- This case suggests a potential link between peripheral trauma and the development of focal motor tics in adulthood.
- It expands the differential diagnosis for adult-onset movement disorders.
- Further research is needed to understand the neurobiological mechanisms connecting trauma and tic disorders.
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