# Severe Whip-Like Cervical Tics as an Indication For Thalamic Deep Brain Stimulation: Report of Two Cases

## TL;DR

This paper reports two cases where deep brain stimulation helped prevent cervical spinal injuries caused by severe tics in Tourette syndrome patients.

## Contribution

The paper introduces deep brain stimulation as a potential treatment to prevent cervical spinal cord injury in Tourette syndrome patients with severe cervical tics.

## Key findings

- DBS prevented the progression of cervical spinal cord injury in one patient with Tourette syndrome.
- DBS prevented the onset of cervical spinal cord injury in another patient with Tourette syndrome.
- Poor control of severe cervical tics is a significant risk factor for cervical spinal cord injury.

## Abstract

Cervical spinal cord injury caused by cervical tics associated with Tourette syndrome (TS) is a recognized complication; however, the role of deep brain stimulation (DBS) in mitigating the risk of such injuries remains unclear.

We report two cases of TS with severe cervical tics, both of which responded favorably to DBS. In one case, DBS prevented the progression of cervical spinal cord injury, whereas in the other case, it prevented its onset.

Poor control of severe cervical tics is a significant risk factor for cervical spinal cord injury, and early consideration of DBS is recommended.

This case report presents two cases in which deep brain stimulation (DBS) was effective for patients with Tourette syndrome exhibiting severe cervical tics. Through this report, we demonstrate the potential effectiveness of DBS as a treatment to reduce the risk of cervical spinal cord injury caused by severe cervical tics.