Fast Orthostatic Tremor in Parkinson’s Disease: Case Report and Comprehensive Review of Literature

Abstract

Background: Orthostatic tremor (OT) is a rare symmetric tremor disorder occasionally observed in association with other movement disorders. Case report: We report the presence of a fast OT in a case of Parkinson’s disease (PD), and provide a comprehensive review of the literature. Discussion: A fast OT presenting as unsteadiness may be a presenting symptom of PD. This symptom may be nonresponsive to levodopa, and benzodiazepines should be prescribed to adequately control the OT and reduce disability.

Keywords

• Orthostatic tremor
• fast orthostatic tremor
• Parkinson’s disease
• asymmetry
• unsteadiness