Complete Resolution of Symptoms of Primary Orthostatic Tremor with Perampanel

Primary orthostatic tremor (POT) is an infrequent disorder whose physiopathology is unknown. Current medication is largely ineffective or only offers mild benefits. A 75-year-old female with refractory POT treated with 4 mg/day of perampanel achieved complete symptom resolution. Owing to adverse eff...

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Detalles Bibliográficos
Autores: Ruiz Julián, María, Orozco, Jorge Luís, Gironell, Alexandre|||0000-0003-2109-9030
Tipo de recurso: artículo
Fecha de publicación:2018
País:España
Institución:Universitat Autònoma de Barcelona
Repositorio:Dipòsit Digital de Documents de la UAB
Idioma:inglés
OAI Identifier:oai:ddd.uab.cat:190790
Acceso en línea:https://ddd.uab.cat/record/190790
https://dx.doi.org/urn:doi:10.7916/D8QZ3SZD
Access Level:acceso abierto
Palabra clave:Primary orthostatic tremor
Perampanel
Descripción
Sumario:Primary orthostatic tremor (POT) is an infrequent disorder whose physiopathology is unknown. Current medication is largely ineffective or only offers mild benefits. A 75-year-old female with refractory POT treated with 4 mg/day of perampanel achieved complete symptom resolution. Owing to adverse effects, the patient reduced intake to 2 mg/day, but even at this lower dose the benefit was maintained. We report the complete resolution of POT symptoms using low doses of perampanel, an antiepileptic drug that blocks glutamate-mediated post-synaptic excitation. Further controlled studies are necessary to confirm this finding.