Neck-jerking and jaw -tic

[jibon2011]

Hello,
          I am Jibon. Age 40. I am having neck-jerking and jaw-movement/tic for last 7 years. About 50/60 times my neck jerks involuntarily. It increases when i am in sexual or tense mood.  It can be mentioned here that at age 15, I felt  psycological problem---where I experienced thought disorder; I felt my brain parts are moving; some sensations/feelings in my inner temple; I could not compleate a thought thoroughly. This problem lasted for about 20 years. Now -a-days Thought Disorder is not a major problem for me. But neck-jerking is. How can I be cured of this problem? Reply please.Thank you......... Jibon, Bangladesh.  

[jibon2012]

Dear Dr. Sharma,
                                Thank you for your kind advice.

                                 I am suffering from sinus problem (nasal congestion) for last few years. Can it be caused by the tic disorders (neck-jerking and jaw-movement) I am suffering for the last 10 years?

                               Previous letter is attached here with. I live in Bangladesh. Please reply to my email: ***@****

                                Respectfully,

                               Jibon, age 41, male.

                              Mobile:  [phone]
======================================

Hello,
          I am Jibon. Age 41. I am having neck-jerking and jaw-movement/tic for last 7 years. About 50/60 times my neck jerks involuntarily. It increases when i am in sexual or tense mood.  It can be mentioned here that at age 15, I felt  psycological problem---where I experienced thought disorder; I felt my brain parts are moving; some sensations/feelings in my inner temple; I could not compleate a thought thoroughly. This problem lasted for about 20 years. Now -a-days Thought Disorder is not a major problem for me. But neck-jerking is. How can I be cured of this problem? Reply please.Thank you......... Jibon, Bangladesh.  

[Dr Sharma]

Hi there. What you are having  is a tic which is a sudden, repetitive, nonrythmic, motor movement or vocalization involving discrete muscle groups. These must be distinguished from other movement disorders like chorea, dystonia and myclonus. Simple motor tics are typically sudden, brief, meaningless movements that usually involve only one group of muscles like eye blinking, head jerking or shoulder shrugging. also seen are neck stretching, mouth movements, facial grimacing etc. tics increase as a result of stress, fatigue, boredom,or high energy emotions, anxiety etc whereas concentrating on an absorbing activity often leads to a decrease in tics. Tourette syndrome is the more severe expression of a spectrum of tic disorders, which are thought to be due to the same genetic vulnerability. Other conditions that may manifest tics are developmental disorders, autism spectrum disorders, Duchene dystrophy. other possibilities are chromosomal disorders like down syndrome, kleinfelter’s syndrome, etc. acquired causes of tics include drug induced tics, head trauma, stroke etc.  Tests to rule out other conditions like EEG, hypothyroidism, MRI,  urine drug screen for cocaine and stimulants. If a positive family history of liver disease, serum copper and ceruloplasmin levels can rule out Wilson’s  disease. Consult a neurologist for a detailed evaluation and management. Take care.