|
KMID : 1024720190090020043
|
|
Geriatric Rehabilitation
2019 Volume.9 No. 2 p.43 ~ p.47
|
|
|
Repetitive Transcranial Magnetic Stimulation Treatment for Holmes Tremor : Case Report
|
|
Lim Ju-Young
Yoo Young-Hwan
Kim Su-Hong
Park Chan-Hyuk
Joa Kyung-Lim
Kim Chang-Hwan
Kim Myeong-Ok
Jung Han-Young
|
|
|
Abstract
|
|
|
|
Holmes tremor is a rare condition caused by a central nervous system insult. Representative symptoms are rest, action, and postural tremors of low frequency. We report a 63-year-old female patient with tremors of the head after bilateral thalamic and midbrain infarction. She experienced a stuporous mental state and cranial nerve palsy. Brain magnetic resonance imaging revealed an acute infarction from the thalamus through the dorsal midbrain on the bilateral side. At 1 month after stroke onset, she developed a resting tremor of the head and an exacerbated tremor by posture without a tremor of the extremities. The tremor was low-frequency (3-4 Hz) for the bilateral splenius capitis at rest. Because her symptoms were not improved by clonazepam and levodopa, we performed repetitive transcranial magnetic stimulation (rTMS) for 2 weeks. After treatment, the frequency and amplitude of the tremors were lower. We suggest that rTMS might be a beneficial treatment for Holmes tremor. Further study will be necessary to establish the mechanism of rTMS in Holmes tremor.
|
|
|
KEYWORD
|
|
|
Bilateral thalamic midbrain infarction, Holmes tremor, rTMS
|
|
|
FullTexts / Linksout information
|
|
|
|
|
|
Listed journal information
|
|
|
|