Posttraumatic tremor without parkinsonism in a patient with complete contralateral loss of the nigrostriatal pathway

Mov Disord. 2002 Sep;17(5):1086-8. doi: 10.1002/mds.10203.

Abstract

We present a patient with posttraumatic tremor who did not show any [(123)I]FP-CIT uptake in the contralateral putamen and caudate. The absence of hypokinesia and rigidity is surprising in the presence of a striatal dopaminergic denervation that is even more severe than in Parkinson's disease. An explanation, therefore, could be that the lesion in the subthalamic nucleus in our patient prevented the onset of a Parkinson syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Brain Injuries / complications*
  • Brain Injuries / pathology*
  • Corpus Striatum / blood supply
  • Corpus Striatum / pathology*
  • Electromyography
  • Hand / physiopathology
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Muscle, Skeletal / physiopathology
  • Neural Pathways / blood supply
  • Neural Pathways / pathology*
  • Substantia Nigra / blood supply
  • Substantia Nigra / pathology*
  • Tomography, Emission-Computed, Single-Photon
  • Tremor / diagnosis
  • Tremor / etiology*
  • Tremor / physiopathology