Levodopa-Responsive Benign Tremulous Parkinsonism

Background: Benign tremulous parkinsonism (BTP) is a tremor dominant syndrome characterized by mild, levodopa-resistant parkinsonism with limited disability or progression. Case Presentation: A 56-year-old woman presented with a 2-year history of tremor. Neurological examination revealed right-hand...

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Main Authors: Osamu Kano, Shinichi Okonogi, Sayori Hanashiro, Ken Miura, Ken Ikeda, Yasuo Iwasaki
Format: Article
Language:English
Published: Karger Publishers 2013-08-01
Series:Case Reports in Neurology
Subjects:
Online Access:http://www.karger.com/Article/FullText/354980
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author Osamu Kano
Shinichi Okonogi
Sayori Hanashiro
Ken Miura
Ken Ikeda
Yasuo Iwasaki
author_facet Osamu Kano
Shinichi Okonogi
Sayori Hanashiro
Ken Miura
Ken Ikeda
Yasuo Iwasaki
author_sort Osamu Kano
collection DOAJ
description Background: Benign tremulous parkinsonism (BTP) is a tremor dominant syndrome characterized by mild, levodopa-resistant parkinsonism with limited disability or progression. Case Presentation: A 56-year-old woman presented with a 2-year history of tremor. Neurological examination revealed right-hand rest tremor and slow finger tapping with decreased amplitude; however, we did not observe posture tremor, rigidity, bradykinesia, or posture disability. She was diagnosed with Parkinson's disease (PD) and received levodopa/carbidopa, effectively treating her rest tremor. At the age of 61 years, reoccurrence of the rest tremor was successfully treated again with levodopa/carbidopa and selegiline. Approximately 11 years have passed since symptom onset and the patient shows no further disease progression. Conclusion: This case broadens the characterization of BTP to include levodopa-responsive PD.
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spelling doaj.art-b72de0e028ea4da2af844fdcb4fbed692022-12-22T00:42:38ZengKarger PublishersCase Reports in Neurology1662-680X2013-08-015213914210.1159/000354980354980Levodopa-Responsive Benign Tremulous ParkinsonismOsamu KanoShinichi OkonogiSayori HanashiroKen MiuraKen IkedaYasuo IwasakiBackground: Benign tremulous parkinsonism (BTP) is a tremor dominant syndrome characterized by mild, levodopa-resistant parkinsonism with limited disability or progression. Case Presentation: A 56-year-old woman presented with a 2-year history of tremor. Neurological examination revealed right-hand rest tremor and slow finger tapping with decreased amplitude; however, we did not observe posture tremor, rigidity, bradykinesia, or posture disability. She was diagnosed with Parkinson's disease (PD) and received levodopa/carbidopa, effectively treating her rest tremor. At the age of 61 years, reoccurrence of the rest tremor was successfully treated again with levodopa/carbidopa and selegiline. Approximately 11 years have passed since symptom onset and the patient shows no further disease progression. Conclusion: This case broadens the characterization of BTP to include levodopa-responsive PD.http://www.karger.com/Article/FullText/354980Rest tremorEssential tremorLevodopaParkinson’s diseaseBenign tremulous parkinsonism
spellingShingle Osamu Kano
Shinichi Okonogi
Sayori Hanashiro
Ken Miura
Ken Ikeda
Yasuo Iwasaki
Levodopa-Responsive Benign Tremulous Parkinsonism
Case Reports in Neurology
Rest tremor
Essential tremor
Levodopa
Parkinson’s disease
Benign tremulous parkinsonism
title Levodopa-Responsive Benign Tremulous Parkinsonism
title_full Levodopa-Responsive Benign Tremulous Parkinsonism
title_fullStr Levodopa-Responsive Benign Tremulous Parkinsonism
title_full_unstemmed Levodopa-Responsive Benign Tremulous Parkinsonism
title_short Levodopa-Responsive Benign Tremulous Parkinsonism
title_sort levodopa responsive benign tremulous parkinsonism
topic Rest tremor
Essential tremor
Levodopa
Parkinson’s disease
Benign tremulous parkinsonism
url http://www.karger.com/Article/FullText/354980
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AT sayorihanashiro levodoparesponsivebenigntremulousparkinsonism
AT kenmiura levodoparesponsivebenigntremulousparkinsonism
AT kenikeda levodoparesponsivebenigntremulousparkinsonism
AT yasuoiwasaki levodoparesponsivebenigntremulousparkinsonism