ABSTRACT
CASE PRESENTATION A 43-year-old woman diagnosed with Tourette’s syndrome (TS) 10 years ago presented for consideration of surgical treatment due to lack of benefit from medications. The patient and her family were unsure when the involuntary movements began, but she was described by her family as ‘nervous all of her life’. Over the years, the movements slowly worsened. They were not preceded by an urge and could not be suppressed. She never had vocalizations. She started falling 3 years before presentation and also developed slurred speech and dysphagia, with significant weight loss. She became depressed and developed compulsions such as spending money and eating. She was unable to pay bills due to cognitive impairment. She had tried multiple neuroleptic medications without relief of her involuntary movements and other symptoms.
