Wednesday, September 23, 2009

Orthostatic tremor; writing tremor

Pearls Orthostatic tremor
--low amplitude high frequency tremor of legs
-- can'tstand but can walk
-- can auscultate legs
-- have to suspect in history
-- Original described by Ken Heilman in Arch Neurol
Writing tremor "hand shakes only when I write"
-- no tremor otherwise; task specific movement disorder
-- akin to dystonia
-- other tasks could be brushing teeth or shaving

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