Indian Journal of Psychological Medicine
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CASE REPORT
Year : 2014  |  Volume : 36  |  Issue : 4  |  Page : 428-430

Post-operative adult onset tic disorder: A rare presentation


1 Department of Psychiatry, GMERS Medical College, Patan, Gujarat, India
2 Department of Psychiatry, Government Medical College, Kota, Rajasthan, India

Correspondence Address:
Dr. Suneet Kumar Upadhyaya
Department of Psychiatry, GMERS Medical College, Patan, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0253-7176.140740

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Tics are rapid and repetitive muscle contractions resulting in stereotype movements and vocalizations that are experienced as involuntary. Onset before 18-year is a diagnostic criterion for tic disorders. Children and adolescents may exhibit tic behaviors after a stimulus or in response to an internal urge. Tic behaviors increase during physical or an emotional stress. Adult onset tic disorders are reported by infections, drugs, cocaine, toxins, chromosomal disorders, head injury, stroke, neurocutaneous syndromes, neurodegenerative disorders and peripheral injuries. Only few cases have yet been reported having onset after surgery though surgery brings both physical and emotional stress to the patient. We report a case of a 55-year-old lady who developed tic disorder as post-operative event of cataract surgery. Our patient had a dramatic response to haloperidol which is in contrast to all earlier reports.


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