![]() ![]() ![]() This case broadens the characterization of BTP to include levodopa-responsive PD.īenign tremulous parkinsonism Essential tremor Levodopa Parkinson's disease Rest tremor. Neuropathological findings in benign tremulous Parkinsonism Selikhova, Marianna Kempster, Peter A. Approximately 11 years have passed since symptom onset and the patient shows no further disease progression. At the age of 61 years, reoccurrence of the rest tremor was successfully treated again with levodopa/carbidopa and selegiline. Background Benign tremulous parkinsonism has never been precisely defined nor has the long-term course been studied. The progression of symptoms is typically slow and there is often a positive family history. She was diagnosed with Parkinson's disease (PD) and received levodopa/carbidopa, effectively treating her rest tremor. Benign tremulous parkinsonism may be a distinct clinical entity characterized by tremor predominance plus minimal progression of other aspects of parkinsonists, which is often not very responsive to levodopa therapy. Benign tremulous parkinsonism (BTP) is characterized by a prominent tremor that occurs both at rest and with action in conjunction with other mild features of parkinsonism. Author links open overlay panel Takuya Konno a, Owen A. Neurological examination revealed right-hand rest tremor and slow finger tapping with decreased amplitude however, we did not observe posture tremor, rigidity, bradykinesia, or posture disability. Deep brain stimulation for levodopa-refractory benign tremulous parkinsonism. Benign tremulous parkinsonism (BTP) is a tremor dominant syndrome characterized by mild, levodopa-resistant parkinsonism with limited disability or progression.Ī 56-year-old woman presented with a 2-year history of tremor. ![]()
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