Citation

Manrique-Huarte R, Arcocha J, Pérez-Fernández N. Acta Otorrinolaringol. Esp. 2012; 63(2): 120-124.

Vernacular Title

Temblor ortostatico como causa de inestabilidad.

Affiliation

Departamento de Otorrinolaringología, Clínica Universidad de Navarra. Pamplona, Navarra, España.

Copyright

(Copyright © 2012, Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial, Publisher Elsevier Publishing)

DOI

10.1016/j.otorri.2011.09.010

PMID

22154251

Abstract

Orthostatic tremor (OT) is a neurological disease of unknown aetiology. It is defined by the presence of a 10-20Hz tremor in the legs while standing still. Symptoms described are dizziness and instability that diminish if the patient sits down or leans on something; drinking small amounts of alcohol significantly reduces OT. Due to the dizziness and/or unsteadiness, these patients are usually referred to the neuro-otology department. We report 4 cases diagnosed with OT. The diagnosis of OT should be considered for patients with instability. The clinical history is a key factor to suspect this entity, and the diagnosis is given by the register of 10-20Hz contractions on limb electromyography. Treatment for this disease consists of medical treatment; the first option is clonazepam.

Language: es