Table 28.1
Symptomatic (secondary) tic syndromes
TypeDisorderComment

A) Congenital

Inherited

Huntington's disease

Occasionally tic-like

movements reported.

See Chapter 20

Generalised idiopathic torsion dystonia (Dystonia musculorum deformans)

Occasionally tic-like

movements reported.

See Chapter 35

Choreoacanthyocytosis

See Chapter 21

Tuberous sclerosis

See text.

Citrullinaemia

See text.

Richner-Hanhart

Increased tyrosine. Infantile

onset cutaneous

hyperkeratosis, keratitis,

mental retardation,

self-mutilation,

tics and cortico-spinal

tract involvement (Cantu

1981).

Genetic

Down's syndrome

See text.

Anomaly: XYY

See text.

Anomaly: XXX/9p

See text.

Anomaly: Fragile-X

See text.

Anomaly: 9p monosomy

See text.

Anomaly: 18q22 translocations

See text.

Developmental

Autism

See text.

Asperger's syndrome

See text.

B) Acquired

Vascular

Cerebral haemorrhage or infarction

See text.

Trauma

1) Birth trauma

See text.

2) Head injury in childhood or adult life

See text.

3) Peripheral injury

See text.

Infections

Encephalitis

See text.

PANDAS

See text.

Neoplastic

Brain tumour

See text.

‘Degenerative’

Senile tic

See text.

Toxic

Carbon monoxide poisoning

See text.

Mercury intoxication

See text

Metabolic

Hypoglycaemia

Doubtful. Weingarten (1968)

Drugs

Tics induced by

a. l-dopa

b. Antipsychotics

c. Stimulants

d. Antiepileptics

e. Antidepressants

f. Alcohol withdrawal

g. Illicit drugs:

Amphetamines, cocaine,

heroin, methylphenidate,

pemoline

See text.

TypeDisorderComment

A) Congenital

Inherited

Huntington's disease

Occasionally tic-like

movements reported.

See Chapter 20

Generalised idiopathic torsion dystonia (Dystonia musculorum deformans)

Occasionally tic-like

movements reported.

See Chapter 35

Choreoacanthyocytosis

See Chapter 21

Tuberous sclerosis

See text.

Citrullinaemia

See text.

Richner-Hanhart

Increased tyrosine. Infantile

onset cutaneous

hyperkeratosis, keratitis,

mental retardation,

self-mutilation,

tics and cortico-spinal

tract involvement (Cantu

1981).

Genetic

Down's syndrome

See text.

Anomaly: XYY

See text.

Anomaly: XXX/9p

See text.

Anomaly: Fragile-X

See text.

Anomaly: 9p monosomy

See text.

Anomaly: 18q22 translocations

See text.

Developmental

Autism

See text.

Asperger's syndrome

See text.

B) Acquired

Vascular

Cerebral haemorrhage or infarction

See text.

Trauma

1) Birth trauma

See text.

2) Head injury in childhood or adult life

See text.

3) Peripheral injury

See text.

Infections

Encephalitis

See text.

PANDAS

See text.

Neoplastic

Brain tumour

See text.

‘Degenerative’

Senile tic

See text.

Toxic

Carbon monoxide poisoning

See text.

Mercury intoxication

See text

Metabolic

Hypoglycaemia

Doubtful. Weingarten (1968)

Drugs

Tics induced by

a. l-dopa

b. Antipsychotics

c. Stimulants

d. Antiepileptics

e. Antidepressants

f. Alcohol withdrawal

g. Illicit drugs:

Amphetamines, cocaine,

heroin, methylphenidate,

pemoline

See text.

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