![]() “Because tics are so common, of course they will co-exist in some patients with epilepsy,” Nitin K Sethi, MD, MBBS, FAAN, an assistant professor of neurology at New York-Presbyterian Hospital/Weill Cornell Medical Center, told Neurology Advisor. Complex tics involve more than one muscle group and may present as a sequence of paired behaviors like vigorously clearing the throat and then doing a specific hand motion each time the tic occurs. 2 Tics can involve movements or vocal sounds and fall into 2 distinct categories: Simple tics are brief and typically involve only one muscle group – for example, eye blinking, head-jerking, or shoulder-shrugging. The jerking movements associated with myoclonic epilepsy may be mistaken for tics, which are estimated to occur in 20% of children. ![]()
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