title: Sensory trick with metoclopramide-associated tardive tremor.
abstract: Tardive tremor is a 3-5 Hz bilateral resting and action tremor, associated with the use of dopamine receptor blocking drugs, accompanied by other tardive movement disorders and responsive to tetrabenazine or clozapine. We describe a case of a sensory trick associated with tardive tremor which raises important points about semiology and management. First, the presence of a sensory trick with tardive limb tremor suggests that the disorder may be a form of dystonia. Second, further study of osteopathic manipulative therapy for treatment of dystonia or tardive tremor is supported by a symptomatic response observed in our case.
authors.affiliation: Department of Neurology, University of Utah, Salt Lake City, Utah, USA. david.shprecher@hsc.utah.edu
authors.forename: David
authors.initials: D
authors.lastname: Shprecher
mesh_terms: D018759:Adrenergic Uptake Inhibitors / Q000627:therapeutic use; D000368:Aged; D001764:Blepharospasm / Q000150:complications* / Q000188:drug therapy; D002574:Cervical Vertebrae; D018492:Dopamine Antagonists / Q000009:adverse effects; D006801:Humans; D008297:Male; D026301:Manipulation, Osteopathic; D008787:Metoclopramide / Q000009:adverse effects; D009069:Movement Disorders / Q000209:etiology / Q000628:therapy*; D009333:Neck; D011312:Pressure; D013130:Spinal Stenosis / Q000150:complications / Q000601:surgery; D013747:Tetrabenazine / Q000627:therapeutic use; D014202:Tremor / Q000139:chemically induced / Q000628:therapy*
chemical_list: D018759:Adrenergic Uptake Inhibitors; D018492:Dopamine Antagonists; D008787:Metoclopramide; D013747:Tetrabenazine