Postural tremor induced by paint sniffing.
Volatile substance abuse is the intentional inhalation of volatile solvents, aerosols, gases or nitrates for the purpose of intoxication. This practice is more common among young people, due, in part, to the low cost and ready availability of these inhalants. In this report, we present the case of a 22-year-old male with a seven-year history of chronic paint sniffing. The patient presented with vigorous postural and kinetic tremor in both hands. A neurological examination revealed a bilateral, non-fatiguing geotropic positional nystagmus and a mild ataxia together with dysdiadochokinesis. He also had a mild chronic encephalopathy. Following treatment with clonazepam, the tremors subsided, but were not completely controlled.
Department of Orthopedic and Trauma Surgery, Royal Perth Hospital, Perth, Western Australia, Australia. ogautschi@datacomm.ch
Oliver P
OP
Gautschi
Dieter
D
Cadosch
René
R
Zellweger
D002908:Chronic Disease; D002998:Clonazepam / Q000627:therapeutic use; D018757:GABA Modulators / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009760:Nystagmus, Physiologic / Q000502:physiology; D010150:Paint / Q000009:adverse effects*; D019966:Substance-Related Disorders / Q000150:complications* / Q000503:physiopathology; D014202:Tremor / Q000139:chemically induced* / Q000188:drug therapy; D055815:Young Adult
D018757:GABA Modulators; D002998:Clonazepam