M F Finkel1. 1. Department of Neurology, Cleveland Clinic Naples, 6101 Pine Ridge Rd, Naples, FL 34119, USA. finkelm@ccf.org.
Abstract
OBJECTIVE: To report the successful treatment of primary orthostatic tremor in a 76-year-old man. BACKGROUND: Primary orthostatic tremor is a rare condition, with few reports describing therapies. Established therapies had previously failed in our patient. METHODS: Using an evidence-based evaluation of treatments via MEDLINE's GRATEFUL MED search engine, a therapeutic option was determined during the first consultation with the patient, and pramipexole therapy was initiated. RESULTS: The therapy proved effective, and the patient had relief from his symptoms for the first time in 6 years. CONCLUSION: Pramipexole is a potential therapy for primary orthostatic tremor. Arch Neurol. 2000;57:1519-1520
OBJECTIVE: To report the successful treatment of primary orthostatic tremor in a 76-year-old man. BACKGROUND:Primary orthostatic tremor is a rare condition, with few reports describing therapies. Established therapies had previously failed in our patient. METHODS: Using an evidence-based evaluation of treatments via MEDLINE's GRATEFUL MED search engine, a therapeutic option was determined during the first consultation with the patient, and pramipexole therapy was initiated. RESULTS: The therapy proved effective, and the patient had relief from his symptoms for the first time in 6 years. CONCLUSION:Pramipexole is a potential therapy for primary orthostatic tremor. Arch Neurol. 2000;57:1519-1520