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A case of post-traumatic tic disorder.

C Singer1, J Sanchez-Ramos, W J Weiner

  • 1Department of Neurology, University of Miami School of Medicine.

Movement Disorders : Official Journal of the Movement Disorder Society
|January 1, 1989
PubMed
Summary

A 27-year-old man developed motor tics after head trauma, suggesting a rare post-traumatic tic syndrome. This case highlights a potential link between brain injury and tic development, distinct from typical tic disorders.

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Area of Science:

  • Neuroscience
  • Neurology
  • Traumatic Brain Injury

Background:

  • Gilles de la Tourette syndrome (GTS) is a neurological disorder characterized by repetitive, involuntary movements and vocalizations called tics.
  • The etiology of GTS is complex, involving genetic and environmental factors, with typical onset in childhood.

Observation:

  • A 27-year-old male patient experienced the sudden onset of multiple motor tics after sustaining a closed head injury with loss of consciousness.
  • The patient had no prior history of tics or a family history of tic disorders, and the tic presentation was atypical in severity and location.

Findings:

  • The clinical presentation and history made a diagnosis of Gilles de la Tourette syndrome unlikely.
  • The findings support the existence of post-traumatic tic syndrome, a condition where tics emerge subsequent to head trauma.

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Implications:

  • This case underscores the importance of considering traumatic brain injury as a potential cause of new-onset tics in adults.
  • Further research into post-traumatic tic syndrome is warranted to understand its pathophysiology and inform clinical management.