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Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
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Published on: March 21, 2013

[Orthostatic tremor inducing instability].

Raquel Manrique-Huarte1, Juan Arcocha, Nicolás Pérez-Fernández

  • 1Departamento de Otorrinolaringología, Clínica Universidad de Navarra, Pamplona, España. rmanrique@unav.es

Acta Otorrinolaringologica Espanola
|December 14, 2011
PubMed
Summary
This summary is machine-generated.

Orthostatic tremor (OT) is a neurological condition causing leg tremors when standing. Early diagnosis via electromyography and treatment with clonazepam can significantly improve patient stability and reduce dizziness.

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Area of Science:

  • Neurology
  • Neuroscience

Background:

  • Orthostatic tremor (OT) is a neurological disorder characterized by a 10-20 Hz tremor in the legs while standing.
  • Symptoms include dizziness and instability, which are alleviated by sitting or leaning, and often temporarily reduced by alcohol consumption.

Observation:

  • Patients with orthostatic tremor are frequently referred to neuro-otology due to dizziness and unsteadiness.
  • This report details four cases diagnosed with orthostatic tremor.
  • Clinical history is crucial for suspecting orthostatic tremor.

Findings:

  • Electromyography confirming 10-20 Hz limb contractions is diagnostic for orthostatic tremor.
  • The etiology of orthostatic tremor remains unknown.

Implications:

  • Orthostatic tremor should be considered in patients presenting with instability.
  • Medical management, with clonazepam as a primary option, is the recommended treatment for orthostatic tremor.