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Holmes tremor and palatal tremor in hypertrophic olivary degeneration: involvement of brainstem

Neurological Sciences volume 42, pages 1157–1159 (2021)Cite this article

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Acknowledgements

The authors thank Xian Liu, PhD (Guangdong Hospital of Traditional Chinese Medicine, Department of Radiology) for his specialized guidance.

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Author notes

  1. Xinjie Chen and Lechang Zhan contributed equally to this work.

Authors and Affiliations

  1. Department of Rehabilitation, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510370, China

    Lechang Zhan & Shanshan Ling

  2. Department of Neurology, The Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Guangzhou, 510120, China

    Xinjie Chen & Chunye Zheng

  3. Department of Rehabilitation, Zhuhai Hospiatl of the Second Affiliated Hospital, Guangzhou University of Chinese Medicine, Zhuhai, 519000, China

    Guiyu Lu

Authors
  1. Xinjie Chen
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  2. Lechang Zhan
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  3. Shanshan Ling
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  4. Chunye Zheng
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  5. Guiyu Lu
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Correspondence to Lechang Zhan.

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ESM 1

HT is not limited to the upper limbs and could be present in the trunk, especially the pelvis. HT is classically characterized as a combination of rest, postural and kinetic tremors of irregular and coarse amplitudes. (MPG 5348 kb)

ESM 2

Holmes tremor in upper limbs. In this video, we first show tremor enhancement upon the patient raising both upper limbs. Second, we show the right thumb tremor in the resting state. Last, the patient was asked to perform the finger-nose test and could not finish the test; tremor exacerbation occurred when he tried to finish the test. (MPG 8012 kb)

ESM 3

PT with rhythmic palatal contractions, laryngeal muscle spasm and slurred speech. (MPG 6946 kb)

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Chen, X., Zhan, L., Ling, S. et al. Holmes tremor and palatal tremor in hypertrophic olivary degeneration: involvement of brainstem. Neurol Sci 42, 1157–1159 (2021). https://doi.org/10.1007/s10072-020-04687-w

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  • DOI: https://doi.org/10.1007/s10072-020-04687-w

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