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Holmes‐like tremor of the lower extremity following brainstem hemorrhage
Author(s) -
Walker Melanie,
Kim Hojoong,
Samii Ali
Publication year - 2006
Publication title -
movement disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.352
H-Index - 198
eISSN - 1531-8257
pISSN - 0885-3185
DOI - 10.1002/mds.21271
Subject(s) - medicine , physical medicine and rehabilitation , brainstem , resting tremor , movement disorders , upper limb , neurological disorder , essential tremor , postural tremor , physical therapy , central nervous system disease , surgery , parkinson's disease , pathology , psychiatry , disease
Holmes tremor is an arrhythmic, 2‐ to 5‐Hz resting, postural, and kinetic upper extremity movement disorder that occurs weeks to months after acute mesencephalic pathology. We present a patient who developed tremor in three body parts postbrainstem hemorrhage with subsequent hypertrophic olivary degeneration and discuss the relevant clinical evolution. Our case is unique because in addition to expected upper extremity and cervical dystonic head tremors, the patient also developed a severe lower extremity movement disorder, which we believe to be a form of Holmes tremor. Tremor involving the lower extremity in this setting has not been previously reported. © 2006 Movement Disorder Society