Differential features between organic tics and PMDs resembling tics
Organic tics | PMDs resembling tics | |
---|---|---|
Typical age at onset | Children | Young adults |
Gender predominance | Male | Female |
Sudden onset | Rare | Frequent |
Premonitory sensation | Common | Uncommon |
Suppressibility | Yes | Uncommon |
Distractibility | Partial | Common |
Suggestibility | Partial | Common |
Movements present during sleep | Common | Not reported |
Other disorders | Chorea minima*, attention deficit with hyperactivity, obsessive-compulsive disorder, impulsivity | Pseudoseizures; psychogenic tremor, dystonia, myoclonus, gait disorder, etc.; depression, anxiety, presence of psychological stress |
Family history of TS | Common | Rare |
Response to dopamine receptor antagonists or dopamine depletory drugs | Frequent, but may be incomplete | Rare |
*Piano playing movements, usually without pathological significance.
PMD, psychogenic movement disorder; TS, Tourette syndrome.