Abstract
An 11-year-old boy presented to our clinic with abnormal involuntary jerky movements of the limbs for 3 months. Examination revealed fidgetiness with frequent rapid, irregular, and aimless involuntary movements of all 4 limbs, hypotonia, frequent facial grimacing, and dysarthria (Movie I in the online-only Data Supplement). The movements used to disappear with sleep. He was unable to sustain his hands raised above …
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