COPROLALIA AND OTHER COPROPHENOMENA

Coprolalia has been a recognized symptom of Tourette syndrome from the first description of the syndrome. Copropraxia is seen less frequentl y and almost always occurs in association with coprolalia. Prevalence of coprolalia varies from 8% in primary pediatric practices to over 60 % in tertiary referral centers. Coprolalia tends to peak in severity d uring adolescence and to wane during adulthood. The pathogenesis may b e related to dysfunction of basal ganglionic and limbic mini-circuits. Coprolalia has also been seen in a variety of other neurologic disord ers. Treatment is primarily pharmacologic with dopamine-blocking agent s.