Effect of Ultrasonography-Guided Botulinum Toxin Type A Injection in Holmes' Tremor Secondary to Pontine Hemorrhage: Case Report.
10.5535/arm.2014.38.5.694
- Author:
So Yeon AHN
1
;
Dong A KIM
;
Youn Ok PARK
;
Joon Ho SHIN
Author Information
1. Department of Rehabilitation Medicine, Rehabilitation Hospital, National Rehabilitation Center, Seoul, Korea. asfreelyas@gmail.com
- Publication Type:Case Report
- Keywords:
Tremor;
Botulinum toxins;
Ultrasonography
- MeSH:
Adult;
Asian Continental Ancestry Group;
Botulinum Toxins;
Botulinum Toxins, Type A*;
Brain Ischemia;
Hand;
Hemorrhage*;
Humans;
Male;
Tremor*;
Ultrasonography
- From:Annals of Rehabilitation Medicine
2014;38(5):694-697
- CountryRepublic of Korea
- Language:English
-
Abstract:
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.
