KMID : 0361420140380050694
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Journal of Korean Academy of Rehabilitation Medicine 2014 Volume.38 No. 5 p.694 ~ p.697
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Effect of Ultrasonography-Guided Botulinum Toxin Type A Injection in Holmes¡¯ Tremor Secondary to Pontine Hemorrhage: Case Report
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Ahn So-Yeon
Kim Dong-A Park Youn-Ok Shin Joon-Ho
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Abstract
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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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KEYWORD
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Tremor, Botulinum toxins, Ultrasonography
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