지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2013.1
- 수록면
- 591 - 594 (4page)
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초록· 키워드
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Holmes tremor is a rare movement phenomenon, with atypical low-frequency tremor at rest and when changing postures, often related to brainstem pathology. We report a 70-year-old female patient who was presented with dystonic head and upper limb tremor after brainstem hemorrhage. The patient had experienced a sudden onset of left hemiparesis and right facial paralysis. Brain magnetic resonance imaging showed an acute hemorrhage from the brachium pontis through the dorsal midbrain on the right side. Several months later, the patient developed resting tremor of the head and left arm, which was exacerbated by a sitting posture and intentional movement. The tremor showed a regular low-frequency (1–2 Hz) for the bilateral sternocleidomastoid and cervical paraspinal muscles at rest. The patient’s symptoms did not respond to propranolol or clonazepam, but gradually improved with levodopa administration. Although various remedies were attempted, overall, the results were poor. We suggest that levodopa might be a useful remedy for Holmes tremor. The curative or relieving effect of the dopaminergic agent in Holmes tremor needs more research.
목차
등록된 정보가 없습니다.
참고문헌 (10)
참고문헌 신청
Defer GL. / 1994 / Rest tremor and extrapyramidal symptoms after midbrain haemorrhage : clinical and 18F-dopa PET evaluation / J Neurol Neurosurg Psychiatry 57 : 987 ~ 989
Deuschl G. / 1998 / Consensus statement of the Movement Disorder Society on Tremor / Mov Disord. 13 (Suppl 3) : 2 ~ 23
Deuschl G. / 2002 / Pathophysiology of nonparkinsonian tremors / Mov Disord. 17 (Suppl 3) : S41 ~ S48
Nikkhah G. / 2004 / Deep brain stimulation of the nucleus ventralis intermedius for Holmes(rubral)tremor and associated dystonia caused by upper brainstem lesions : report of
Raina GB. / 2007 / Holmes tremor secondary to brainstem hemorrhage responsive to levodopa : report of 2 cases / Clin Neuropharmacol 30 : 95 ~ 100
Deuschl G. / 1998 / Consensus statement of the Movement Disorder Society on Tremor / Mov Disord. 13 (Suppl 3) : 2 ~ 23
Deuschl G. / 2002 / Pathophysiology of nonparkinsonian tremors / Mov Disord. 17 (Suppl 3) : S41 ~ S48
Nikkhah G. / 2004 / Deep brain stimulation of the nucleus ventralis intermedius for Holmes(rubral)tremor and associated dystonia caused by upper brainstem lesions : report of
Raina GB. / 2007 / Holmes tremor secondary to brainstem hemorrhage responsive to levodopa : report of 2 cases / Clin Neuropharmacol 30 : 95 ~ 100
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