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Positional Tremor and its Treatment
Author(s) -
Schaefer Sara M.,
Hallett Mark,
Karp Barbara P.,
DiCapua Daniel B.,
Tinaz Sule
Publication year - 2017
Publication title -
movement disorders clinical practice
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.754
H-Index - 18
ISSN - 2330-1619
DOI - 10.1002/mdc3.12498
Subject(s) - physical medicine and rehabilitation , essential tremor , botulinum toxin , lidocaine , medicine , task (project management) , dystonia , psychology , neuroscience , anesthesia , management , economics
Abstract View Supplementary Video 1 View Supplementary Video 2 Background: Positional tremors arise when a patient's tremor is brought on during specific positioning of the involved body part. They can be distinguished from postural tremor, wherein a patient's tremor is elicited in any posture, and from task‐specific tremor, wherein a patient's tremor occurs only during a certain task. Cases: We describe 2 cases of positional tremor that were markedly improved with botulinum toxin injection. Discussion: The term “positional” is a valuable descriptor for tremors. In patients with positional tremor, botulinum toxin may be beneficial for treatment. Lidocaine injection provides a transient way to test for the appropriateness of botulinum toxin injection in these patients.