Klazomania is similar to other complex tics including echolalia, palilalia and coprolalia.[1] It is defined as compulsive shouting, which can be in the form of swearing, grunting or barking.[3] The subject may appear flushed, and klazomania can occur with increasing frequency if the person is agitated.[3] The duration of the incident depends on the individual, but it can be characterized by a peak period, followed by intermittent remissions of less intensity.[2] Although the individual may sound like they are in pain, there does not appear to be any actual physical discomfort.[3] The shouting can be accompanied by other symptoms, such as oculogyric crises or other involuntary movements.[2] The presentation of klazomania has been compared to temporal lobe epilepsy, although the two can be distinguished by the duration of the attack and the fact that the patient experiencing klazomania appears to retain consciousness.[2]