ABSTRACT
Orthostatic tremor (OT) is a movement disorder that occurs during standing and disappears with walking or sitting. This article presented the results of a rehabilitation program with levodopa+benserazide treatment in an OT patient. An 82-year-old male patient was admitted to our clinic because of immobilization accompanied by tremor in his right leg while standing for the last two months, resulting in continued walking or sitting, and fear of falling. Upon the recommendation of the neurology clinic, 300 mg of levodopa+ 75 mg benserazide/day treatment was initiated with the diagnosis of OT, and the patient was included in the rehabilitation program in our clinic. This patient, who had difficulty in standing with the support of two people due to intense tremor at the beginning of his hospitalization, was discharged under supervision with a rotator for forty meters after a four-week rehabilitation program. As a result, rehabilitation programs applied together with medical treatment in OT treatment are very important to increase the quality of life and functionality of patients.
Keywords:
Orthostatic Tremor, Rehabilitaton, Levodopa, Benserazide
References
1Whitney D, Bhatti D, Torres-Russotto D. Orthostatic Tremor: Pathophysiology Guiding Treatment. Curr Treat Options Neurol. 2018;20:35.
2Hassan A, van Gerpen JA. Orthostatic Tremor and Orthostatic Myoclonus: Weight-bearing Hyperkinetic Disorders: A Systematic Review, New Insights, and Unresolved Questions. Tremor Other Hyperkinet Mov (N Y). 2016;6:417.
3Yalıman A, Şen Eİ. Parkinson Hastalığı ve Rehabilitasyonu. Turk J Phys Med Rehabil. 2011;57:1.
4Heilman KM. Orthostatic tremor. Arch Neurol. 1984;41:880-881.
5Wills AJ, Brusa L, Wang HC, et al. Levodopa may improve orthostatic tremor: case report and trial of treatment. J Neurol Neurosurg Psychiatry. 1999;66:681-684.
6Ovallath S, Sulthana B. Levodopa: History and Therapeutic Applications. Ann Indian Acad Neurol. 2017;20:185-189.
7Pekcan Ertokuş G, Özer T. Parkinson Hastalığının Tedavisinde Kullanılan Levodopa ve Benserazid Etken Maddelerinin Kemometrik Tayini. Erzincan Üniversitesi Fen Bilimleri Enstitüsü Dergisi. 2020;13:669-676.
8Gallea C, Popa T, García-Lorenzo D, et al. Orthostatic tremor: a cerebellar pathology? Brain. 2016;139:2182-2197.
9Vidailhet M, Roze E, Maugest L, et al. Lessons I have learned from my patients: everyday life with primary orthostatic tremor. J Clin Mov Disord. 2017;4:1.