Isolated slow orthostatic tremor of the trunk

Slow orthostatic tremor is an extremely rare movement disorder with relatively low-frequency tremor (< 13 Hz) in the legs and trunk, which is evoked by standing. There is still much controversy regarding its precise etiology. Here we present a 57 year-old female patient with a slow orthostatic tr...

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Veröffentlicht in:Neurological research and practice Jg. 4; H. 1; S. 51 - 3
Hauptverfasser: Aziz, N. Ahmad, Grobe-Einsler, Marcus, Kaut, Oliver
Format: Journal Article
Sprache:Englisch
Veröffentlicht: Berlin Springer Nature B.V 17.10.2022
BioMed Central
BMC
Schlagworte:
Essential tremor
Etiology
Gait
Letter to the Editor
Movement disorders
Patients
Primidon
Propranolol
Slow orthostatic tremor
Tremor
Trunk tremor
ISSN:2524-3489, 2524-3489
Online-Zugang:Volltext
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Zusammenfassung:Slow orthostatic tremor is an extremely rare movement disorder with relatively low-frequency tremor (< 13 Hz) in the legs and trunk, which is evoked by standing. There is still much controversy regarding its precise etiology. Here we present a 57 year-old female patient with a slow orthostatic tremor variant who experienced progressive gait disturbances since six years due to isolated trunk tremor. Potential symptomatic causes of tremor and other neurological co-morbidities were excluded through an exenstive clinical, laboratoy and imaging work-up. Subsequently, a combined treatment with propranolol and primidone was started, which resulted in almost complete resolution of the trunk tremor. Given that the slow trunk tremor in this patient almost completely resolved after therapy with a low-dose propranolol and primidone, considered first line drugs for the treatment of essential tremor, this case illustrates that isolated orthostatic trunk tremor may occur as a rare variant of essential tremor.
Bibliographie:SourceType-Scholarly Journals-1
ObjectType-Correspondence-1
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ISSN:2524-3489
2524-3489
DOI:10.1186/s42466-022-00216-6