Case Reports

Abstract

NM is a 13-year-old female with an unremarkable past medical history. Her pediatrician referred her for an evaluation of involuntary shaking and body movements. During the clinic visit, the patient reported that jerking movements had started several months prior to her appointment and had gradually increased in frequency and intensity. She also reported that the episodes were experienced almost every morning upon waking and occasionally when she would take a daytime nap. The patient’s episodes involved bilateral abrupt movements of her arms and legs. She never lost consciousness and was always completely aware of her surroundings during the episodes. During the episodes, she would often lose control of her hands and drop objects. On a few occasions the shaking would cause her to fall to the ground resulting in mild injury. These movements were very brief but commonly occurred in clusters that could last up to 10 minutes.