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KMID : 0371620080230020157
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Journal of Wonkwang Medical Science
2008 Volume.23 No. 2 p.157 ~ p.160
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Ocular tremor after top of the basilar syndrome with delayed olivary hypertrophy
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Kim Young-Jin
Jeong Ju-Lie
Kang Sung-Won
Han Sun-Jung
Lee Sung-Ik
Son Il-Hong
Yang Hyun-Duk
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Abstract
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Oculopalatal tremor(OPT) is a delayed complication of hypertrophic inferior olivary degeneration after the lesion in the dentato-rubro-olivary pathway, the Guillain-Mollaret triangle. Some cases of ocular tremor without palatal tremor associated with inferior olivary hypertrophy after pontine hemorrhage or brainstem infarction have been reported, but ocular tremor with inferior olivary hypertrophy after top of the basilar syndrome has rarely been described. We describe a patient showing delayed-onset horizontal ocular tremor with inferior olivary hypertrophy after top of the basilar syndrome. It can be postulated that the vertical component of ocular tremor could have not developed because of the lesions in bilateral cerebral peduncles.
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KEYWORD
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Olivary nucleus, Tremor, Top of the Basilar syndrome
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