In a 1996 report of one case, Bates et al. postulated that klazomania is similar to the vocal tics of Tourette syndrome, although patients with klazomania may not have the motor tics necessary for a diagnosis of TS.[3] Bates and colleagues observed a case where alcoholism and encephalitis were accompanied by vocal tics and occasionally klazomania.[3] They hypothesized that the cause of klazomania is linked to the combined effects of brain damage due to alcoholism or encephalitis.[3]