Sudden, rapid recurrent repetitive, stereotyped motor movement or vocalization involving discrete muscle groups.
Eye blinking, shaking of the head, twitching of shoulder, abdomen, Movements of the hands and arms, and movements of the feet and legs.
Coughing, sniffing, grunting, uttering of words.
In extreme cases complex motor tics may present themselves as obscene gestures ex: pulling trousers down or even have an element of self-harm.
Children and adolescents are 10 times more likely to suffer from tics than adults.
• Familial history
• Existence of vocal or complex tics
• Comorbid hyperkinetic disorder
• Obsessive-compulsive symptoms
• Aggressive behavior
• Facial grimacing.
• Excessive blinking
• Jerking, or shrugging.
• Sudden uncontrollable movements
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