Inflammatory myopathy in a patient with postural and kinetik tremor
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Daniele Orsucci • Michelangelo Mancuso • Greta Al` • Valeria Calsolaro • Giulia Ricci • Sara Gori • Gabriele Sicilian
- چاپ و سال / کشور: 2011
Description
Essential tremor (ET) is a common neurological disease of unknown etiopathogenesis, possibly neurodegenerative, characterized by kinetic tremor at the arms. Here we reported the case of an HCV-positive patient with inflammatory myopathy, who did not develop typical neuromuscular signs or symptoms during at least 7 years of hyperCKemia, in whom kinetic tremor of the arms was the prominent clinical feature, suggesting a possible diagnosis of ET. After 3 months of treatment with corticosteroids/ methotrexate, creatine kinase (CK) levels were nearly normal and the tremor was remarkably improved. To our knowledge, similar cases have not been previously reported. Postural tremor can be present in muscular diseases, but only very rarely tremor has been reported as a major clinical feature. Because inflammatory myopathies are potentially treatable conditions it is very important to consider this diagnosis. Our case suggests that in patients with isolated postural and kinetic tremor routine laboratory assays should include CK blood screening
Neurol Sci DOI 10.1007/s10072-011-0615-3 Received: 3 September 2010 / Accepted: 28 April 2011
