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Arch Ophthalmol. 2004;122:930-931.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

In 1885, the French neurologist Georges Gilles de la Tourette described 9 patients with childhood-onset tics accompanied in some by uncontrollable noises and utterances, as well as hyperactivity and obsessive-compulsive behavior.¹ The current diagnosis of Tourette syndrome, according to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV), involves multiple motor tics and at least 1 vocal tic, which occur many times a day, nearly every day, or intermittently for more than 1 year. Tics must begin before age 18 years.² The average age of onset is 7 years, and boys are more commonly affected than girls. Motor tics are characterized by involuntary movements such as facial grimacing, frequent eye blinking, blepharospasm, spitting, and arm jerking. Vocal tics often have an aggressive or sexual component, such as grunting, barking, echolalia, and coprolalia (uncontrolled swearing). The condition often results in deleterious social consequences. We report a case . . . [Full Text of this Article]

Report of a Case


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Sue Lim, MD; Kourous A. Rezai, MD; Gary W. Abrams, MD; Dean Eliott, MD
Detroit, Mich

Corresponding author: Dean Eliott, MD, Kresge Eye Institute, Wayne State University School of Medicine, 4717 St Antoine, Detroit, MI (e-mail: deliott@med.wayne.edu).