The video shows nonrhythmic hyperkinetic superior limb standardized movements associated with copropraxia and vocal tics. All were preceded by a premonitory urgency, which commonly improved after performing the movements. Because of its refractory pattern, the patient underwent deep brain stimulation implantation at the centromedian-parafascicular complex thalamic. His previous Yale Global Tic Severity Scale score was 95. After deep brain stimulation implantation, he showed marked improvement.
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