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‘Orthostatic tremor’ in familial-essential tremor

Department of Neurology, University of Mississippi Medical Center, Jackson, MS.

We studied a family with essential tremor of the arms. Some members also had tremor of the trunk and legs on standing, but not on walking, sitting, or reclining. Tremor was evoked, regardless of body or limb position, by strong tonic contraction of the appropriate muscles; it was a type of static postural tremor. Beta-adrenergic blockers had no effect on the tremor of the trunk or legs, but clonazepam was beneficial.

Address correspondence and reprint requests to Dr. Wee, Department of Neurology, University of Mississippi Medical Center, 2500 North State Street, Jackson, MS 39216.

Presented in part at the thirty-seventh annual meeting of the American Academy of Neurology, Dallas, TX, May 1985.

Accepted for publication December 18, 1985.

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