It cannot be denied that in many cases of tic this exaggeration of the
normal movement is anything but obvious; many conform absolutely to the
definition of Meige and Feindel, except that the movements are not
violent, or grotesque, or "caricatures." To withhold the term "tic" on
this account would be rather unfortunate, especially since no standard
exists whereby to estimate exaggeration. Enough has been said, however,
to demonstrate how insignificant are the discrepancies between the rival
definitions.
Another question recently raised by Cruchet is the possibility of the
persistence of tic during sleep.
The evidence he has adduced in favour of this has now been accepted, as
far as tics of the neck are concerned, by Meige. They are leas abrupt
and less frequent, it is true; otherwise, they are identical with the
movements of the waking hours. A case of a hiccoughing tic persisting in
sleep has come under my own observation within the last few months. Now,
it is not difficult to understand that a movement such as tic, which
occurs during the conscious state in spite of the will of the subject,
may arise when consciousness is diminished. In fact, one wonders why
they are not more frequently remarked, seeing that they are habitual
movements, and habit movements are by no means uncommon in sleep. It is
highly probable, of course, that the observation of the watcher is not
minute enough, but there is another reason. The peculiarity of all, or
almost all, of these habitual movements in sleep is that they are
rhythmical--we may instance the head nodding and head rolling of
children; but it is a noteworthy fact that they are often regulated by
respiration. When it is recalled how respiratory drill is eminently
calculated to diminish the frequency and lessen the severity of very
many tics, it will be admitted that the regularity of the respiratory
movement in sleep is the most likely explanation of the infrequency of
tic during that period.
Public-domain text, read in full here on John Shaqi.
Reviews
Reviews
No reviews yet
Be the first to share your thoughts on this work.
Elsewhere in the archive
Join the Discussion
Join the discussion
Sign in to leave a comment or review.
Sign InorCreate an account