Tics and involuntary movements in adults
Summary points from NICE guidance relating to tics and involuntary movements in adults are:
Do not routinely refer adults with isolated involuntary movements of the eyelid unless the movements:
- cause involuntary tight eye closure of both eyes (blepharospasm) or
- have persisted for more than 3 months.
In adults with involuntary movements of the face, neck, limbs or trunk that cannot be temporarily suppressed by mental concentration:
- refer for neurological assessment or
- refer to neurology or an eye clinic, according to local provision, if the person has involuntary tight eye closure of both eyes (blepharospasm).
Do not routinely refer adults with small involuntary muscular twitches (fasciculations) unless these are associated with muscle wasting and weakness or muscle rigidity.
Last edited 05/2019 and last reviewed 03/2020