Tic Status

A young male diagnosed with Tourette syndrome underwent deep brain stimulation because of its refractory pattern at age 23 years. By age 29 years, he stopped attending proper follow-ups, and his condition worsened. He was admitted to the emergency department with an acute exacerbation of involuntary movements, dysautonomic symptoms, and psychomotor agitation. The video shows nonrhythmic, continuous, generalized hyperkinetic movements associated with muscle contractions in the trunk, neck, and upper and lower limbs. After evaluation by the movement disorders team, considering phenomenology, preserved consciousness, and his medical history, tic status was diagnosed. Internal pulse generator depletion was found, which was the leading cause. Clinical management was initially performed with intravenous diazepam for immediate relief, with partial symptom control. After battery replacement, the patient showed a gradual symptomatic improvement. Click the Related Article link for full details.