[40F] Experiencing involuntary head movements and associated sounds

Patient Description

A 40-year-old female reports experiencing involuntary head movements that are sudden and noticeable, jerking or twitching to the right, accompanied by involuntary hissing and clicking noises made with the mouth. These symptoms have been present for years and occur randomly about twice a week. The patient was diagnosed with asthma in childhood and endometriosis approximately 20 years ago, is currently on birth control, and has an allergy to Penicillin. No other medications are reported, and no changes in the intensity or frequency of the symptoms have been noted over the years.

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Arora's Assessment

What might be happening

Based on the information you've provided, it's possible that you may have a condition known as a tic disorder. Tics are sudden, rapid, repetitive movements or sounds that people do repeatedly. People who have tics cannot stop their body from doing these things. For example, a person might keep blinking over and over again, or make a grunting sound unwillingly.

  • Chronic Tic Disorder: This is a condition where you have either motor tics or vocal tics, but not both, for more than a year. The tics occur many times a day nearly every day or intermittently throughout a span of more than a year. During that time, there has never been a tic-free period of more than three consecutive months. Your description of sudden head movements and associated sounds that have been occurring for years fits this category.

    • Treatment for chronic tic disorder often involves medications to help control the tics, behavioral therapies to help manage the tics, or a combination of both.
  • Tourette Syndrome: This is a condition where you have both motor tics (like your head movements) and vocal tics (like your hissing and clicking sounds), for more than a year. The tics occur many times a day nearly every day or intermittently throughout a span of more than a year. During that time, there has never been a tic-free period of more than three consecutive months. The onset is before 18 years of age. However, you mentioned that you only have one type of tic, which doesn't fit the criteria for Tourette Syndrome.

    • Treatment for Tourette Syndrome often involves medications to help control the tics, behavioral therapies to help manage the tics, or a combination of both.

What you can do

While it's important to consult a healthcare professional for a formal diagnosis and treatment plan, here are some general suggestions:

  1. Try to get enough sleep. Tics can worsen when you're tired.
  2. Try to manage and reduce stress. Tics can worsen in situations that are stressful or anxiety-inducing.
  3. Regular exercise can also help reduce tics by helping to reduce anxiety and increase self-esteem.
  4. Avoid caffeine and other stimulants, as these can sometimes increase tics.

What you should look out for

You should seek immediate medical attention if:

  • Your tics become painful
  • Your tics interfere with your daily activities or quality of life
  • Your tics are causing you distress or concern
  • You develop new symptoms

Please remember, I'm an AI developed to assist with medical information. It's important to consult with a healthcare professional for a formal diagnosis and treatment plan.

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1 yr ago

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People Also Ask


What are tic disorders and how do they differ from Tourette Syndrome?

Tic disorders are conditions characterized by sudden, rapid, repetitive movements or sounds. Chronic tic disorder involves either motor or vocal tics for more than a year, while Tourette Syndrome involves both motor and vocal tics, with onset before age 18.


What are some common treatments for chronic tic disorder?

Common treatments for chronic tic disorder include medications to help control the tics and behavioral therapies to manage them. A healthcare professional can provide a tailored treatment plan.


Can lifestyle changes help manage tic disorders?

Yes, lifestyle changes such as getting enough sleep, managing stress, regular exercise, and avoiding stimulants like caffeine can help reduce the frequency and severity of tics.


When should someone with tic symptoms seek medical attention?

Medical attention should be sought if tics become painful, interfere with daily activities, cause distress, or if new symptoms develop. A healthcare professional can provide guidance and treatment options.


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