deletions | additions       diff --git a/Treatment.md b/Treatment.md  index c6c2828..23e1d91 100644  --- a/Treatment.md  +++ b/Treatment.md 
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The issue of temporary DBS treatment was raised by a case study (Zeka, 2015). The patient started having simple motor tics at the age of 7 followed by vocal and complex motor tics two years later. The patient also had ADHD and learning difficulties. Thalamic DBS surgery was provided when he developed continuous motor and vocal tics that resulted in him leaving school at the age of 17. A year after surgery his YGTSS score had decreased by 58%. 3 years after the surgery the tic severity increased and the IPG was replaced resulting in improved tic severity again. When the patient was 23 it was noticed that the IPG was not operational and there had not been any increase in the patient's symptoms. After the device was left off for 2 years and the patient remained stable clinically, the decision was made to remove the device and the patient was still stable 8 months later.  | **Title** | **Comment** |  |:----------|:------------|  |  \citep{25342253} | Deep TMS add-on for intractable TS |  ### Other treatment