Fast Orthostatic Tremor in Parkinson’s Disease: Case Report and Comprehensive Review of Literature

  • Sudhakar Pushpa Chaithra
  • Shweta Prasad
  • Vikram V. Holla
  • Pramod Kumar Pal

Abstract

Background: Orthostatic tremor (OT) is a rare symmetric tremor disorder occasionally observed in association with other movement disorders.

Case report: We report the presence of a fast OT in a case of Parkinson’s disease (PD), and provide a comprehensive review of the literature.

Discussion: A fast OT presenting as unsteadiness may be a presenting symptom of PD. This symptom may be nonresponsive to levodopa, and benzodiazepines should be prescribed to adequately control the OT and reduce disability.

Keywords: Orthostatic tremor, fast orthostatic tremor, Parkinson's disease, asymmetry, unsteadiness

Citation: Chaithra SP, Prasad S, HollaVV, Pal PK. Fast Orthostatic Tremor in Parkinson’s Disease: Case Report and Comprehensive Review of Literature. Tremor Other Hyperkinet Mov. 2019; 9. doi: 10.7916/tohm.v0.670