✦ LIBER ✦

Tremor on smiling

✍ Scribed by Petra Schwingenschuh; Carla Cordivari; Julia Czerny; Marcello Esposito; Kailash P. Bhatia

Publisher: John Wiley and Sons
Year: 2009
Tongue: English
Weight: 816 KB
Volume: 24
Category: Article
ISSN: 0885-3185
DOI: 10.1002/mds.22666

No coin nor oath required. For personal study only.

✦ Synopsis

Abstract

Facial tremor occurring on smiling is a rare phenomenon and has been described (to the best of our knowledge) in the literature only once. We describe two patients who presented with a bilateral facial tremor that occurred only on smiling and other activation of therisorii muscles and had a high frequency of 9 Hz. One patient additionally suffered from young‐onset Parkinson's disease, whereas the other had no further neurological symptoms or signs apart from this tremor. Anti‐parkinsonian medication was unhelpful for the facial tremor in the patient with Parkinson's disease. Tremor on smiling may be a discrete entity or may be associated in some cases of Parkinson's disease. © 2009 Movement Disorder Society

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