| 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. |
| Authors | J Finsterer, W Muellbacher, B Mamoli
(Affiliation: 2. Neurological Department, Neurological Clinic Rosenhuegei, Vienna, Austria.)
|
| Journal | Journal of the neurological sciences
(J Neurol Sci)
Vol. 139
Issue 2
Pg. 242-5
(Aug 1996)
ISSN: 0022-510X NETHERLANDS |
| PMID | 8856660
(Publication Type: Case Reports, Journal Article)
|
| Chemical References |
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| Topics |
- Botulinum Toxins
(therapeutic use)
- Cerebellar Diseases
(drug therapy, etiology, physiopathology)
- Cerebellum
(blood supply)
- Cerebral Infarction
(complications)
- Head
(physiopathology)
- Humans
- Male
- Middle Aged
- Olivary Nucleus
(physiopathology)
- Red Nucleus
(physiopathology)
- Tremor
(drug therapy, etiology, physiopathology)
|
