Possible Parkinson's disease revealed by a pure head resting tremor.
Head tremor is very unusual in Parkinson's disease (PD). Five PD patients presenting a head tremor during the disease evolution have recently been reported. Here we describe a 74 year-old woman with a pure head resting tremor. The tremor was responsive to levodopa and had a 4.7 Hz frequency. A [(123)I]FP-CIT SPECT imaging confirmed a reduction of tracer uptake in the right striatum consistent with PD, that should be confirmed by long-term follow-up.
Gan
J
J
Université Lyon I, Hospices Civils de Lyon, Hôpital Neurologique Pierre Wertheimer, Service de Neurologie C, Lyon, France.
Xie-Brustolin
J
J
Gervais-Bernard
H
H
Vallet
A E
AE
Broussolle
E
E
Thobois
S
S
D000368:Aged; D000978:Antiparkinson Agents / Q000627:therapeutic use; D003342:Corpus Striatum / Q000000981:diagnostic imaging / Q000187:drug effects; D003937:Diagnosis, Differential; D004576:Electromyography; D005260:Female; D019416:Head Movements; D006801:Humans; D007980:Levodopa / Q000627:therapeutic use; D018482:Muscle, Skeletal / Q000503:physiopathology; D010300:Parkinson Disease / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000188:drug therapy; D015899:Tomography, Emission-Computed, Single-Photon; D014202:Tremor / Q000175:diagnosis*
D000978:Antiparkinson Agents; D007980:Levodopa