Early Head Tremor in Essential Tremor: A Case Series and Commentary Cover

Early Head Tremor in Essential Tremor: A Case Series and Commentary

Tremor and Other Hyperkinetic Movements

Volume 7 (2017): Issue 0

By: Elan D. Louis, Funmi M. Badejo, Ashley D. Cristal, James Meyers, Nora Hernandez, Karen P. Chen, Kelly V. Naranjo, Jemin Park and Lorraine N. Clark

Open Access

|Mar 2017

Figures & Tables

Table 1

Demographic and Clinical Features of ET Cases

	Case 1	Case 2	Case 3	Case 4	Case 5	Case 6	Case 7
Age (years)	52	54	67	41	73	67	51
Gender	F	F	F	F	F	F	F
Hand dominance	L	R	R	R	R	R	L
Proband’s age of tremor onset	11	Unknown	16	15	53	7	7
Number of affected first‐degree relatives	2	1	4	1	2	2	2
Voice tremor¹	No	No	No	No	No	Yes	No
Jaw tremor¹	No	No	No	No	No	No	No
Tremor rating on R extension¹	0	0	0	0.5	0	0.5	0
Tremor rating on L Extension¹	0	0	0	0.5	0	0.5	0
Tremor rating on R pouring¹	0.5	0	0	1	0.5	0.5	1
Tremor rating on L pouring¹	0.5	0	0	0	0.5	0	1
Tremor rating on R using spoon¹	0.5	0.5	1	1	0	1	0.5
Tremor rating on L using spoon¹	1	1.5	1	1.5	1.5	0.5	0.5
Tremor rating on R drinking¹	0.5	1	0	1	1.5	0.5	0.5
Tremor rating on L drinking¹	0.5	0	0.5	1	1.5	0.5	1
Tremor rating on R FNF¹	1	1.5	0.5	1	0.5	1	1
Tremor rating on L FNF¹	0.5	1.5	1	1.5	0.5	1.5	1
Tremor rating on R drawing¹	0.5	1	0	1.5	1	1	1.5
Tremor rating on L drawing¹	1	1	1	1.5	0.5	1	1
Total tremor score	6.5	8	5	12	8	8.5	9

Abbreviations: F, Female; FNF, Finger–Nose–Finger Maneuver; L, Left; R, Right.

1 On videotaped neurological examination.

Video 1

Early head tremor. Patient 1, after the patient states what she had for breakfast, a brief horizontal head wobble is evident. Patient 2, as the patient states the date (“2016”), a brief horizontal head tremor is evident. Patient 3, as the patient states the date (“May 10th”), a brief horizontal head tremor is evident. Patient 4, as the patient states the date (“September 22nd”), a brief horizontal head tremor is evident. Patient 5, just after sustained phonation (eee sound), a brief horizontal head wobble is evident. The head tilt towards the right at the end is voluntary rather than dystonic. Patient 6, after sustained phonation, a horizontal head tremor is seen. She also has mild voice tremor. Patient 7, just after the patient finishes reading the rainbow passage and looks up, a brief horizontal head tremor is evident.

DOI: https://doi.org/10.5334/tohm.340 | Journal eISSN: 2160-8288

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Language: English

Submitted on: Jan 26, 2017

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Accepted on: Mar 7, 2017

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Published on: Mar 25, 2017

Published by: Columbia University Libraries/Information Services

In partnership with: Paradigm Publishing Services

Publication frequency: 1 issue per year

Keywords:

Essential tremor,

© 2017 Elan D. Louis, Funmi M. Badejo, Ashley D. Cristal, James Meyers, Nora Hernandez, Karen P. Chen, Kelly V. Naranjo, Jemin Park, Lorraine N. Clark, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

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