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February 1982

Tourette's Syndrome and Essential Tremor in a Septuagenarian

Author Affiliations

Department of Neurology University of Kansas Medical Center Kansas City, KS 66103

Arch Neurol. 1982;39(2):132. doi:10.1001/archneur.1982.00510140066023

To the Editor.—  Tourette's syndrome commonly appears in childhood or adolescence; the literature has little information on its clinical course late in life. The following case is of interest because of the age of the patient.

Report of a Case.—  A woman, now 75 years old, was first seen at age 46 years because of sudden, rapid, involuntary movements of the legs, usually hip flexion of one leg at a time. These movements were described as "bizarre jerking, jumping" movements of the lower extremities and trunk. Some attacks would throw her to the floor. Rapid, nonrhythmic, asymmetrical, involuntary movements of the face and arms were described. Over the years the patient had had sudden neck movements; her head would be thrown back with involuntary shouts and "screams." The abrupt, involuntary, rapid movement of one or more extremities or the trunk continued. The patient remembered that these involuntary movements had begun

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