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Tourette syndrome with complex motor tics and simple phonic tics

This young man presented at the age of 12 years with a 5-year history of multiple motor and phonic tics. He exhibits severe complex motor tics that consist mostly of compulsively banging his back into the wall. He also displays simple but loud expiratory phonic tics, often in synchrony with his back-banging. (Contributed by Dr. Joseph Jankovic.)

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Associated Disorders

  • Antisocial behavior
  • Anxiety disorders
  • Attention deficit hyperactivity disorder
  • Catatonia
  • Depression
  • Impulse control disorder
  • Learning disabilities
  • Mania
  • Mood disorders
  • Obsessive-compulsive disorder
  • Oppositional defiant behavior
  • PANDAS
  • Personality disorders
  • Phobias
  • Self-injurious behaviors
  • Sleep disorders