Effect of Ultrasonography-Guided Botulinum Toxin Type A Injection in Holmes' Tremor Secondary to Pontine Hemorrhage: Case Report

Holmes' tremor is a low-frequency rest and intentional tremor secondary to various insults, including cerebral ischemia, hemorrhage, trauma, or neoplasm. Pharmacologic treatment is usually unsuccessful, and some cases require surgical intervention. We report a rare case of Holmes' tremor s...

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Bibliographic Details
Published inAnnals of rehabilitation medicine Vol. 38; no. 5; pp. 694 - 697
Main Authors Ahn, So-Yeon, Kim, Dong-A, Park, Youn-Ok, Shin, Joon-Ho
Format Journal Article
LanguageEnglish
Published Korea (South) Korean Academy of Rehabilitation Medicine 01.10.2014
대한재활의학회
Subjects
Case Report
재활의학
Botulinum toxins
Tremor
Ultrasonography
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ISSN2234-0645
2234-0653
DOI10.5535/arm.2014.38.5.694

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Summary:Holmes' tremor is a low-frequency rest and intentional tremor secondary to various insults, including cerebral ischemia, hemorrhage, trauma, or neoplasm. Pharmacologic treatment is usually unsuccessful, and some cases require surgical intervention. We report a rare case of Holmes' tremor secondary to left pontine hemorrhage in a 29-year-old Asian male patient who developed 1.6-Hz postural and rest tremor of the right hand. He responded markedly to ultrasonography-guided botulinum toxin type A injection. To our knowledge, this is the first report of Homes' tremor treated with ultrasonography-guided botulinum toxin type A injection with favorable results.
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G704-000430.2014.38.5.013
ISSN:2234-0645
2234-0653
DOI:10.5535/arm.2014.38.5.694