A 14-year-old boy with paroxysmal nonkinesigenic dyskinesia (PNKD), confirmed by the identification of MR-1 (ie, gene PNKD) missense variant, presented an attack of choreathetotic movement of all extremities and twisting in the trunk without loss of consciousness, precipitated with stress and fatigue. The attack occurred 2 to 3 times each day and lasted from several minutes to hours before a full recovery.
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