Orthostatic tremor inducing instability].

Orthostatic tremor (OT) is a neurological disease of unknown aetiology. It is defined by the presence of a 10-20 Hz tremor in the legs while standing still. Symptoms described are dizziness and instability that diminish if the patient sits down or leans on something; drinking small amounts of alcohol significantly reduces OT. Due to the dizziness and/or unsteadiness, these patients are usually referred to the neuro-otology department. We report 4 cases diagnosed with OT. The diagnosis of OT should be considered for patients with instability. The clinical history is a key factor to suspect this entity, and the diagnosis is given by the register of 10-20 Hz contractions on limb electromyography. Treatment for this disease consists of medical treatment; the first option is clonazepam. Copyright © 2011 Elsevier España, S.L. All rights reserved.

Citation

Raquel Manrique-Huarte, Juan Arcocha, Nicolás Pérez-Fernández. Orthostatic tremor inducing instability]. Acta otorrinolaringológica española. 2012 Mar-Apr;63(2):120-4

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PMID: 22154251

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