{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,10]],"date-time":"2026-02-10T05:44:05Z","timestamp":1770702245205,"version":"3.49.0"},"reference-count":15,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,11,4]],"date-time":"2004-11-04T00:00:00Z","timestamp":1099526400000},"content-version":"vor","delay-in-days":2986,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[1996,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe two patients with Tourette's syndrome in whom severe motor tics involving the neck were complicated by cervical myelopathy. The first patients, a 21\u2010year\u2010old man, had complex tics consisting of violent twisting and extending movements of the neck preceded by an irresistible urge to produce the abnormal postures. Two years after onset of these tics, paraesthesias, sensory deficits up to the level of C4, and a gait disturbance developed. Neuroimaging studies confirmed compressive myelopathy, and the symptoms gradually improved with botulinum toxin injections in the posterior cervical muscles. The second patient, a 42\u2010year\u2010old man, had violent clonic tics consisting of thrusting head jerks. The repetitive flexion\u2010extension neck movements had been present since the age 10 years. At age 23, he developed progressive weakness off all four extremities and bladder and sexual dysfunction. Myelography demonstrated cervical spinal canal stenosis with retrospondylosis from C3 through C5 and a Klippel\u2010Feil malformation. After cervical decompression by, C3\u2010C5 laminectomies, his spinal cord symptoms improved temporarily. The tics, however, continued, and the neurologic deficits of cervical myelopathy progressed again after age 34. He did not benefit from a second operation. This report draws attention to the possibility that some tics can produce disabling compressive myelopathy. Early diagnosis and treatment of the movement disorder is essential in such cases.<\/jats:p>","DOI":"10.1002\/mds.870110512","type":"journal-article","created":{"date-parts":[[2004,12,31]],"date-time":"2004-12-31T09:47:09Z","timestamp":1104486429000},"page":"563-566","source":"Crossref","is-referenced-by-count":91,"title":["Severe motor tics causing cervical myelopathy in Tourette's syndrome"],"prefix":"10.1002","volume":"11","author":[{"given":"Joachim K.","family":"Krauss","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joseph","family":"Jankovic","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2004,11,4]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.47.8.775"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410080427"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1002\/ana.410090323"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870110114"},{"key":"e_1_2_1_6_2","first-page":"7","article-title":"Diagnosis and classification of tics and Tourette syndrome","volume":"58","author":"Jankovic J","year":"1992","journal-title":"Adv Neurol"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870010103"},{"key":"e_1_2_1_8_2","first-page":"25","article-title":"Clinical phenomenology of tic disorders\u2014selected aspects","volume":"58","author":"Lang AE","year":"1992","journal-title":"Adv Neurol"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.41.2_Part_1.223"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.39.5.731"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.151.5.675"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01407775"},{"key":"e_1_2_1_13_2","first-page":"1255","article-title":"The incidence of acquired and congenital fusions in the cervical spine","volume":"92","author":"Brown MW","year":"1964","journal-title":"Am J Roentgenol"},{"key":"e_1_2_1_14_2","first-page":"209","volume-title":"Current neurology","author":"Jankovic J","year":"1993"},{"key":"e_1_2_1_15_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870090315"},{"key":"e_1_2_1_16_2","doi-asserted-by":"crossref","first-page":"439","DOI":"10.1017\/S0317167100029541","article-title":"Pain in Gilles de la Tourette syndrome and related tic disorders","volume":"16","author":"Riley DE","year":"1989","journal-title":"Can J Neurol Sci"}],"container-title":["Movement Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fmds.870110512","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/mds.870110512","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,20]],"date-time":"2025-10-20T09:39:47Z","timestamp":1760953187000},"score":1,"resource":{"primary":{"URL":"https:\/\/movementdisorders.onlinelibrary.wiley.com\/doi\/10.1002\/mds.870110512"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1996,9]]},"references-count":15,"journal-issue":{"issue":"5","published-print":{"date-parts":[[1996,9]]}},"alternative-id":["10.1002\/mds.870110512"],"URL":"https:\/\/doi.org\/10.1002\/mds.870110512","archive":["Portico"],"relation":{},"ISSN":["0885-3185","1531-8257"],"issn-type":[{"value":"0885-3185","type":"print"},{"value":"1531-8257","type":"electronic"}],"subject":[],"published":{"date-parts":[[1996,9]]}}}