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Updated: May 12, 2026

Tilt Testing with Combined Lower Body Negative Pressure: a "Gold Standard" for Measuring Orthostatic Tolerance
Published on: March 21, 2013
A slow orthostatic tremor of primary origin
Sophie M Coffeng1, Jorrit I Hoff, Selma C Tromp
1Department of Neurology, St. Antonius Hospital, Nieuwegein, The Netherlands.
Background:
Orthostatic tremor (OT) is a high-frequency tremor (13-18 Hz) present in the legs when standing. Underlying disease is found in one-third of OT patients.
Case Report:
We describe an 86-year-old man with progressive shaking of the legs while standing, which disappears immediately after sitting down or while walking. Polymyography confirmed a tremor of the legs (10-11 Hz) while standing. Magnetic resonance imaging (MRI) and neurologic examination showed no underlying disease.
Discussion:
Primary OT can appear at a lower frequency of 10-11 Hz.
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