Skip to main content
SpringerLink
Log in

Treatment of Cerebellar Tremor

  • Chapter
  • First Online:
Therapy of Movement Disorders

Part of the book series: Current Clinical Neurology ((CCNEU))

Abstract

A patient with genetically confirmed spinocerebellar ataxia (type 2) presented with a 6-year history of progressive trunk and upper extremity action tremor with a rotatory component. The tremor interfered with many activities of daily living. Adaptive utensils and wrist weights were tried. Propranolol and amantadine gave the best pharmacologic control; however, primidone and clonazepam use was limited by side effects. Unfortunately there are currently no FDA-approved drugs for cerebellar ataxia, and all agents used to manage cerebellar tremor are “off-label” and are supported by limited evidence.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Log in via an institution
Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 119.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 159.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Suggested Reading

  • Choi SM. Movement disorders following cerebrovascular lesions in cerebellar circuits. J Mov Disord. 2016;9:80–8.

    Article  Google Scholar 

  • Deuschl G, Bain P, Brin M. Consensus statement of the movement disorder society on tremor. Ad Hoc Scientific Committee. Mov Disord. 1998;13(Suppl 3):2–23.

    PubMed  Google Scholar 

  • Filip P, Lungu OV, Manto MU, Bareš M. Linking essential tremor to the cerebellum: physiological evidence. Cerebellum. 2016;15:774–80.

    Article  Google Scholar 

  • Gallea C, Popa T, García-Lorenzo D, Valabregue R, Legrand AP, Apartis E, Marais L, Degos B, Hubsch C, Fernández-Vidal S, Bardinet E, Roze E, Lehéricy S, Meunier S, Vidailhet M. Orthostatic tremor: a cerebellar pathology? Brain. 2016;139:2182–97.

    Article  Google Scholar 

  • Grimaldi G, Argyropoulos GP, Boehringer A, Celnik P, Edwards MJ, Ferrucci R, Galea JM, Groiss SJ, Hiraoka K, Kassavetis P, Lesage E, Manto M, Miall RC, Priori A, Sadnicka A, Ugawa Y, Ziemann U. Non-invasive cerebellar stimulation--a consensus paper. Cerebellum. 2014;13:121–38.

    Article  CAS  Google Scholar 

  • Novellino F, Nicoletti G, Cherubini A, Caligiuri ME, Nisticò R, Salsone M, Morelli M, Arabia G, Cavalli SM, Vaccaro MG, Chiriaco C, Quattrone A. Cerebellar involvement in essential tremor with and without resting tremor: a diffusion tensor imaging study. Parkinsonism Relat Disord. 2016;27:61–6.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Ataxia Center and HD Center of Excellence, Los Angeles, CA, USA

    Susan L. Perlman MD

Authors
  1. Susan L. Perlman MD
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Susan L. Perlman MD .

Editor information

Editors and Affiliations

  1. The Frederick Henry Prince Distinguished, Professor in Neurology, Department of Neurology, University of Maryland, Baltimore, Baltimore, MD, USA

    Stephen G. Reich

  2. Vance Lanier Chair of Neurology, Professor, Department of Neurology, Director, Jean and Paul Amos Parkinson’s Disease and Movement Disorder Program, Emory University, Atlanta, GA, USA

    Stewart A. Factor

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Switzerland AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Perlman, S.L. (2019). Treatment of Cerebellar Tremor. In: Reich, S., Factor, S. (eds) Therapy of Movement Disorders. Current Clinical Neurology. Humana, Cham. https://doi.org/10.1007/978-3-319-97897-0_42

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-97897-0_42

  • Published:

  • Publisher Name: Humana, Cham

  • Print ISBN: 978-3-319-97896-3

  • Online ISBN: 978-3-319-97897-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation