Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease
Background: The aim of this study was to analyze the different forms of leg tremors exhibited while standing in patients with Parkinson disease (PD), and to determine if the type of leg tremor exhibited is indicative of prognosis or treatment response in PD patients. Methods: We studied the clinical...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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Korean Movement Disorder Society
2009-05-01
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| Series: | Journal of Movement Disorders |
| Subjects: | |
| Online Access: | http://e-jmd.org/upload/jmd-2-1-29-7.pdf |
| _version_ | 1797710799271100416 |
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| author | Suk Yun Kang Sook-Keun Song Jin-Soo Kim Young Ho Sohn |
| author_facet | Suk Yun Kang Sook-Keun Song Jin-Soo Kim Young Ho Sohn |
| author_sort | Suk Yun Kang |
| collection | DOAJ |
| description | Background: The aim of this study was to analyze the different forms of leg tremors exhibited while standing in patients with Parkinson disease (PD), and to determine if the type of leg tremor exhibited is indicative of prognosis or treatment response in PD patients. Methods: We studied the clinical characteristics of five PD patients (all women; mean age, 59 years, range, 53–64 years) with unilateral standing leg tremor as the initial manifestation of PD, including their electrophysiological findings and the results of long-term follow-up. Results: For each patient, parkinsonism either existed at the time of onset of the initial symptoms or developed later. Patient responses to drugs were generally good, but one patient showed a poor response to drugs, even though she had only a low frequency leg tremor. For two patients whom we could observe during the 10-year follow-up period, neither the leg tremor nor parkinsonism was aggravated. Conclusions: There are two forms of unilateral standing leg tremor in PD. One form is high frequency, similar to the primary orthostatic tremor. The other is low frequency and similar to the parkinsonian resting tremor. Based on these observations, it appears that progression might be slow if PD patients have standing leg tremor as the initial manifestation. |
| first_indexed | 2024-03-12T06:57:30Z |
| format | Article |
| id | doaj.art-d071f56933474898b8288873a060ece0 |
| institution | Directory Open Access Journal |
| issn | 2005-940X 2093-4939 |
| language | English |
| last_indexed | 2024-03-12T06:57:30Z |
| publishDate | 2009-05-01 |
| publisher | Korean Movement Disorder Society |
| record_format | Article |
| series | Journal of Movement Disorders |
| spelling | doaj.art-d071f56933474898b8288873a060ece02023-09-02T23:58:49ZengKorean Movement Disorder SocietyJournal of Movement Disorders2005-940X2093-49392009-05-0121293210.14802/jmd.0900782Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson DiseaseSuk Yun KangSook-Keun SongJin-Soo KimYoung Ho SohnBackground: The aim of this study was to analyze the different forms of leg tremors exhibited while standing in patients with Parkinson disease (PD), and to determine if the type of leg tremor exhibited is indicative of prognosis or treatment response in PD patients. Methods: We studied the clinical characteristics of five PD patients (all women; mean age, 59 years, range, 53–64 years) with unilateral standing leg tremor as the initial manifestation of PD, including their electrophysiological findings and the results of long-term follow-up. Results: For each patient, parkinsonism either existed at the time of onset of the initial symptoms or developed later. Patient responses to drugs were generally good, but one patient showed a poor response to drugs, even though she had only a low frequency leg tremor. For two patients whom we could observe during the 10-year follow-up period, neither the leg tremor nor parkinsonism was aggravated. Conclusions: There are two forms of unilateral standing leg tremor in PD. One form is high frequency, similar to the primary orthostatic tremor. The other is low frequency and similar to the parkinsonian resting tremor. Based on these observations, it appears that progression might be slow if PD patients have standing leg tremor as the initial manifestation.http://e-jmd.org/upload/jmd-2-1-29-7.pdfParkinson diseaseOrthostatic tremorElectromyographyLeg tremorPrognosis |
| spellingShingle | Suk Yun Kang Sook-Keun Song Jin-Soo Kim Young Ho Sohn Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease Journal of Movement Disorders Parkinson disease Orthostatic tremor Electromyography Leg tremor Prognosis |
| title | Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease |
| title_full | Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease |
| title_fullStr | Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease |
| title_full_unstemmed | Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease |
| title_short | Unilateral Standing Leg Tremor as the Initial Manifestation of Parkinson Disease |
| title_sort | unilateral standing leg tremor as the initial manifestation of parkinson disease |
| topic | Parkinson disease Orthostatic tremor Electromyography Leg tremor Prognosis |
| url | http://e-jmd.org/upload/jmd-2-1-29-7.pdf |
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