The muscles of the chin collaborate with other facial muscles in
expressional movement, and are similarly liable to be the seat of tics.
Massaro[73] has observed an interesting series of isolated "geniospasm"
occurring in twenty-six individuals of the same family during five
generations. The characteristic feature of these spasms was an
involuntary intermittent clonic contraction of the transverse muscles of
the chin, suggesting the look of one seized with fear or with cold. The
will did not always effect their inhibition, while emotion appeared to
aggravate and distraction to abate their intensity. With sleep they
vanished entirely.
TICS OF THE TONGUE--LICKING TICS
Tics confined exclusively to the tongue are of rare occurrence.
Moreover, they must be strictly differentiated from the tonic or clonic
contractions of the tongue muscles met with in hysteria, epilepsy, and
Sydenham's chorea, from the varying tremors that accompany organic
disease of cerebral or bulbo-pontine origin, as well as from those
"glosso-spasms" that may or may not be associated with twitches of the
facial musculature.
Functional polymorphism is no less marked in the case of the tongue than
in that of the lips; it participates in suction, mastication,
deglutition, as well as in respiration, phonation, and articulation,
while to "put out the tongue" at any one is equivalent to an expression
of contempt. It is, accordingly, no surprise to find the number of
tongue tics very considerable. Such, for instance, is the licking tic,
where the tongue is constantly being passed over the free border of the
lips, moistening them to excess; or the chewing tic, in which its
perpetual motion inside the mouth in every direction conveys the
impression that the subject is chewing something. Further, its contact
with the palate or the upper lip may yield different clucking,
whistling, or crowing sounds. Letulle remarks that the trick of
producing a little inspiratory whistle by the passage of a column of air
through an incompletely closed labial commissure--a common habit among
people suffering from dental caries--is not slow in developing into an
actual tic.
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