Complex phonic tic and disinhibition in Tourette syndrome: case report.

Abstract:

:Tourette syndrome (TS) is a neuropsychiatric disorder characterized by a combination of multiple motor tics and at least one phonic tic. TS patients often have associated behavioral abnormalities such as obsessive compulsive disorder, attention deficit and hyperactive disorder. Coprolalia, defined as emission of obscenities or swearing, is one type of complex vocal tic, present in 8% to 26% of patients. The pathophysiology of coprolalia and other complex phonic tics remains ill-defined. We report a patient whose complex phonic tic was characterized by repetitively saying "breast cancer" on seeing the son of aunt who suffered from this condition. The patient was unable to suppress the tic and did not meet criteria for obsessive compulsive disorder. The phenomenology herein described supports the theory that complex phonic tics result from disinhibition of the loop connecting the basal ganglia with the limbic cortex.

journal_name

Arq Neuropsiquiatr

authors

Maia DP,Cardoso F

doi

10.1590/s0004-282x2001000400019

subject

Has Abstract

pub_date

2001-09-01 00:00:00

pages

587-9

issue

3-A

eissn

0004-282X

issn

1678-4227

pii

S0004-282X2001000400019

journal_volume

59

pub_type

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