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

Authors

  • Jan Zijlmans MD, PhD,

    Corresponding author
    1. Department of Neurology, The National Institute of Neurology and Neurosurgery, Queen Square, London, United Kingdom
    2. Reta Lila Weston Institute of Neurological Studies, Royal Free and University College London Medical School, London, United Kingdom
    3. Department of Neurology, VU Medisch Centrum, Amsterdam, The Netherlands
    • Department of Neurology, VU Medisch Centrum, Postbus 7057, 1007 MB Amsterdam, The Netherlands
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  • Jan Booij MD, PhD,

    1. Department of Nuclear Medicine, Academic Medical Center, Amsterdam, The Netherlands
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  • Jaap Valk MD, PhD,

    1. Department of Radiodiagnostics, VU Medisch Centrum, Amsterdam, The Netherlands
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  • Andrew Lees MD, FRCP,

    1. Department of Neurology, The National Institute of Neurology and Neurosurgery, Queen Square, London, United Kingdom
    2. Reta Lila Weston Institute of Neurological Studies, Royal Free and University College London Medical School, London, United Kingdom
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  • Martin Horstink MD, PhD

    1. Department of Neurology, University Medical Center, Nijmegen, The Netherlands
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  • A videotape accompanies this article.

Abstract

We present a patient with posttraumatic tremor who did not show any [123I]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. © 2002 Movement Disorder Society

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