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"I swear it is Tourette's!": On functional coprolalia and other tic-like vocalizations.

Ganos, C; Edwards, MJ; Müller-Vahl, K (2016) "I swear it is Tourette's!": On functional coprolalia and other tic-like vocalizations. Psychiatry Research, 246. pp. 821-826. ISSN 1872-7123 https://doi.org/10.1016/j.psychres.2016.10.021
SGUL Authors: Edwards, Mark John James

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Abstract

Coprolalia in neuropsychiatry is typically associated with tic disorders, in particular Gilles de la Tourette syndrome. To date, there has been no report of functional coprolalia. Here, we provide the clinical characteristics of 13 adolescent and adult patients with coprolalic and other functional tic-like complex vocalizations who, on the basis of these symptoms, were misdiagnosed with a primary tic disorder, most commonly Gilles de la Tourette syndrome. We describe similarities and highlight the differences from primary tic disorders in order to provide a pragmatic list of clinical clues that will facilitate correct diagnostic labeling and thereby treatment. Finally, we emphasize that the distinction between a primary and a functional tic disorder should rely on a combination of neuropsychiatric symptoms and signs and not on the presence of single, however striking, abnormal behaviors, such as coprolalia.

Item Type: Article
Additional Information: © 2016 The Authors. Published by Elsevier Ireland Ltd.This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by/4.0/).
Keywords: Coprolalia, Functional neurological symptoms, Gilles de la Tourette syndrome, Coprolalia, Functional neurological symptoms, Gilles de la Tourette syndrome, Psychiatry, 11 Medical And Health Sciences, 17 Psychology And Cognitive Sciences
SGUL Research Institute / Research Centre: Academic Structure > Molecular and Clinical Sciences Research Institute (MCS)
Academic Structure > Molecular and Clinical Sciences Research Institute (MCS) > Neuroscience (INCCNS)
Journal or Publication Title: Psychiatry Research
ISSN: 1872-7123
Language: ENG
Dates:
DateEvent
17 October 2016Published Online
16 October 2016Accepted
30 December 2016Published
Publisher License: Creative Commons: Attribution-Noncommercial-No Derivative Works 4.0
PubMed ID: 27825787
Go to PubMed abstract
URI: https://openaccess.sgul.ac.uk/id/eprint/108434
Publisher's version: https://doi.org/10.1016/j.psychres.2016.10.021

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