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Adult-Onset Tics After Being Crushed by an Air Conditioner: A Case Report
Journal article   Open access   Peer reviewed

Adult-Onset Tics After Being Crushed by an Air Conditioner: A Case Report

Madeline G Kroeger, Teri Thomsen and Prashant A Natteru
Curēus (Palo Alto, CA), Vol.15(9), e45741
09/21/2023
DOI: 10.7759/cureus.45741
PMCID: PMC10591533
PMID: 37876411
url
https://doi.org/10.7759/cureus.45741View
Published (Version of record) Open Access

Abstract

Tics are sudden, repetitive, non-rhythmic movements and/or vocalizations. Generally, tics begin during childhood as a part of Tourette syndrome (TS) and rarely have an onset during adulthood. We describe a 30-year-old male who presented with multiple motor and vocal tics two weeks following a closed head injury with alteration of consciousness as a result of being crushed against the wall by a 4,100-pound air-conditioning unit. He started having motor tics that developed in a rostrocaudal distribution, followed by simple and complex vocal tics. His tics increased in severity over several months following the injury until presentation. He was started on pimozide and received hyperbaric oxygen treatment which improved both motor and vocal tics.

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