Fast Orthostatic Tremor in Parkinson's Disease: Case Report and Comprehensive Review of Literature

Sudhakar Pushpa Chaithra; Shweta Prasad; Vikram V Holla; Pramod Kumar Pal

doi:10.7916/tohm.v0.670

Fast Orthostatic Tremor in Parkinson's Disease: Case Report and Comprehensive Review of Literature

Tremor Other Hyperkinet Mov (N Y). 2019 Sep 16:9. doi: 10.7916/tohm.v0.670. eCollection 2019.

Authors

Sudhakar Pushpa Chaithra¹, Shweta Prasad^{1

2}, Vikram V Holla¹, Pramod Kumar Pal¹

Affiliations

¹ Department of Neurology, National Institute of Mental Health and Neurosciences, Bangalore, IN.
² Department of Clinical Neurosciences, National Institute of Mental Health and Neurosciences, Bangalore, IN.

Abstract

Background: Orthostatic tremor (OT) is a rare symmetric tremor disorder occasionally observed in association with other movement disorders.

Case report: We report the presence of a fast OT in a case of Parkinson's disease (PD), and provide a comprehensive review of the literature.

Discussion: A fast OT presenting as unsteadiness may be a presenting symptom of PD. This symptom may be nonresponsive to levodopa, and benzodiazepines should be prescribed to adequately control the OT and reduce disability.

Keywords: Orthostatic tremor; Parkinson’s disease; asymmetry; fast orthostatic tremor; unsteadiness.

Publication types

Case Reports
Review

MeSH terms

Aged
Female
Humans
Parkinson Disease / complications
Parkinson Disease / physiopathology*
Posture / physiology*
Tremor / etiology
Tremor / physiopathology*