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CASE REPORT
Year : 2020  |  Volume : 3  |  Issue : 1  |  Page : 56-59

Unilateral Holmes tremor associated with compression of the brainstem by an ectatic vertebral artery


1 Department of Clinical Neuroscience, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India; Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India
2 Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru, Karnataka, India

Correspondence Address:
Dr. Pramod K. Pal
Department of Neurology, National Institute of Mental Health and Neurosciences (NIMHANS), Bengaluru 560029, Karnataka.
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/AOMD.AOMD_37_19

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Lesions affecting the Guillain–Mollaret triangle usually lead to palatal or oculopalatal tremors and occasionally Holmes tremors (HTs). We report two cases of unilateral HT without palatal tremor, secondary to brainstem compression by an ectatic vertebral artery. Unilateral HT may occur due to compression of the inferior olivary nucleus by an ectatic vertebral artery. This cause should be explored in patients who lack other obvious causes for tremor.


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