Yes/yes head tremor without appendicular tremor after bilateral cerebellar infarction.

Abstract:

:We report a 67-year-old man who developed yes/yes head tremor without appendicular tremor six weeks after right occipital and bilateral cerebellar infarction. The tremor was resting-postural. Its activity increased with excitement, decreased either after ethanol, lateroflexion or rest and stopped at sleep. Four-vessel angiography revealed a well collateralised occlusion of both vertebral arteries. Needle-EMG recordings showed rhythmic, synchronous agonist/antagonist activity in both the splenius capitis and sternocleidomastoideus muscles at a frequency of 2-3 Hz. After administration of botulinum toxin A (DysportR), the tremor markedly improved and vanished completely after a booster. Since then the tremor did not reappear. Delayed-onset, yes/yes head tremor without appendicular tremor may be caused by bilateral cerebellar infarction and can be successfully relieved with botulinum toxin A.

journal_name

J Neurol Sci

authors

Finsterer J,Muellbacher W,Mamoli B

subject

Has Abstract

pub_date

1996-08-01 00:00:00

pages

242-5

issue

2

eissn

0022-510X

issn

1878-5883

pii

S0022510X96001530

journal_volume

139

pub_type

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