Document Detail


Holmes-like tremor of the lower extremity following brainstem hemorrhage.
MedLine Citation:
PMID:  17149732     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Holmes tremor is an arrhythmic, 2- to 5-Hz resting, postural, and kinetic upper extremity movement disorder that occurs weeks to months after acute mesencephalic pathology. We present a patient who developed tremor in three body parts postbrainstem hemorrhage with subsequent hypertrophic olivary degeneration and discuss the relevant clinical evolution. Our case is unique because in addition to expected upper extremity and cervical dystonic head tremors, the patient also developed a severe lower extremity movement disorder, which we believe to be a form of Holmes tremor. Tremor involving the lower extremity in this setting has not been previously reported.
Authors:
Melanie Walker; Hojoong Kim; Ali Samii
Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Movement disorders : official journal of the Movement Disorder Society     Volume:  22     ISSN:  0885-3185     ISO Abbreviation:  Mov. Disord.     Publication Date:  2007 Jan 
Date Detail:
Created Date:  2007-02-05     Completed Date:  2007-03-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8610688     Medline TA:  Mov Disord     Country:  United States    
Other Details:
Languages:  eng     Pagination:  272-4     Citation Subset:  IM    
Copyright Information:
(c) 2006 Movement Disorder Society.
Affiliation:
Department of Neurology, University of Washington School of Medicine, Seattle, Washington, USA.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Brain Stem / pathology
Cerebral Hemorrhage / pathology
Humans
Hypertrophy / pathology
Magnetic Resonance Imaging
Male
Movement Disorders / complications*,  diagnosis,  physiopathology*
Nerve Degeneration / pathology
Olivary Nucleus / pathology
Paresis / complications,  physiopathology
Posture*
Tegmentum Mesencephali / pathology
Tremor / complications*,  diagnosis,  physiopathology*
Upper Extremity / physiopathology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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