Prognostic implications of late-onset primary tic disorder in an elderly male: A case report

Tic disorder is a common entity in childhood and adolescents. Tics in adults are usually continuation of childhood tics or secondary to a neurological disorder. The onset of tic disorders in adults is relatively rare, and new-onset tic in the elderly is extremely rare. Due to its rarity, it often go...

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Bibliographic Details
Published in:Journal of Geriatric Mental Health 2019-01, Vol.6 (1), p.31-32
Main Authors: Dwivedi, Suyash, Kar, Sujita
Format: Article
Language:English
Subjects:
Adults
Age
Age of onset
Basal ganglia
Brain
Brain lesions
Case reports
Case studies
Childhood
Chorea
Circuits
Cortex
Disease age factors
Drug therapy
Elderly
Elderly patients
Entorhinal cortex
Mental depression
Middle class
Misdiagnosis
Nervous system diseases
Neurophysiology
Older people
Prescription drugs
Prognosis
Psychotropic drugs
Symptoms
Tic disorders
Tics
Undiagnosed
Youth
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Summary:Tic disorder is a common entity in childhood and adolescents. Tics in adults are usually continuation of childhood tics or secondary to a neurological disorder. The onset of tic disorders in adults is relatively rare, and new-onset tic in the elderly is extremely rare. Due to its rarity, it often goes undiagnosed or misdiagnosed. The neurobiological underpinning of tic traces back to the connections of the basal ganglia with cerebral cortex, brainstem, and thalamus. The dopaminergic circuits are mostly implicated in the generation of tic. New-onset tics in adult and elderly population can be due to specific brain lesion or can be due to some psychiatric disorder. Tics may be confused with certain other movement abnormalities such as chorea, dyskinesias, and stereotypy. Phenomenologically, tics can be tonic, clonic, or dystonic type.
ISSN:2348-9995
2395-3322
DOI:10.4103/jgmh.jgmh_19_19