Koichi Tsunoda, MD, PhD; Yohko Morita, MD, PhD; Takao Yabe, MD, PhD; Atsunobu Tsunoda, MD, PhD; Maiko Saito, MD
Disclosures: None. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=L13-1161.
Tsunoda K., Morita Y., Yabe T., Tsunoda A., Saito M.; Continuous Involuntary Tut-Tutting: A Case Report. Ann Intern Med. 2014;160:739. doi: 10.7326/L14-5010-6
Download citation file:
Published: Ann Intern Med. 2014;160(10):739.
Background: What Japanese speakers refer to as shitauchi involves a tongue movement similar to what English speakers refer to as “tut-tutting” but has a different connotation. In the Japanese social setting, this tongue clicking is equivalent to uttering a common 4-letter English obscenity.
Objective: To report a case of continuous involuntary tut-tutting caused by a variant type of rhythmic palatal myoclonus.
Case Report: An 80-year-old woman visited our clinic because of continuous involuntary tongue clicking for approximately a decade that prevented her from attending most social events. It occurred while she was active during the day but not during sleep. She was in good health with no history of disease or trauma and did not smoke cigarettes, consume alcohol, or receive psychotropic medication. She had no family history of neurologic or psychiatric disorders, including a tic.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Results provided by:
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only