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  • Title: [Orthostatic tremor inducing instability].
    Author: Manrique-Huarte R, Arcocha J, Pérez-Fernández N.
    Journal: Acta Otorrinolaringol Esp; 2012; 63(2):120-4. PubMed ID: 22154251.
    Abstract:
    Orthostatic tremor (OT) is a neurological disease of unknown aetiology. It is defined by the presence of a 10-20 Hz tremor in the legs while standing still. Symptoms described are dizziness and instability that diminish if the patient sits down or leans on something; drinking small amounts of alcohol significantly reduces OT. Due to the dizziness and/or unsteadiness, these patients are usually referred to the neuro-otology department. We report 4 cases diagnosed with OT. The diagnosis of OT should be considered for patients with instability. The clinical history is a key factor to suspect this entity, and the diagnosis is given by the register of 10-20 Hz contractions on limb electromyography. Treatment for this disease consists of medical treatment; the first option is clonazepam.
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