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Published on: December 13, 2017
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A case of position dependent tremor.
Manabu Inoue1, Hirokazu Morihata2, Shun Matoba2
1Department of Neurology, Osaka Saiseikai Nakatsu Hospital.
Rinsho Shinkeigaku = Clinical Neurology
|October 18, 2021
Summary
This case study describes a 79-year-old woman diagnosed with essential tremor. Her position-specific hand tremor, exacerbated by tasks like drinking tea, highlights the importance of postural tremor assessment.
Area of Science:
- Neurology
- Movement Disorders
Background:
- Essential tremor is a common neurological disorder characterized by involuntary rhythmic shaking.
- Diagnosis often relies on clinical presentation and exclusion of other tremor causes.
Observation:
- A 79-year-old woman presented with a 3-year history of bilateral hand tremors, predominantly on the left.
- Tremors occurred during specific tasks (drinking, reading, writing) and with elbow flexion.
- The tremor was position-dependent, irrespective of the task.
Findings:
- Clinical diagnosis of essential tremor was made after excluding other causes.
- The tremor's dependence on extremity position suggests a link to postural tremor.
Implications:
- This case underscores the significance of evaluating tremor in relation to body position.
- Understanding position-specific tremors is crucial for accurate diagnosis and management of movement disorders.
