Nicaretta D H, Pereira J S, Pimentel M L
Hospital Universitário Pedro Ernesto, Universidade do Estado do Rio de Janeiro (HUPE-UERJ), Brasil.
Arq Neuropsiquiatr. 1994 Mar;52(1):87-9. doi: 10.1590/s0004-282x1994000100016.
Primary writing tremor is induced by a specific motor activity, generally the handwriting. The case is analyzed under clinic and therapeutic points of view. The patient had a tremor elicited by handwriting without any other concurrent neurologic alteration. He neither presented familiar antecedents nor metabolic, endocrine, iatrogenic, toxic and traumatic ones. As to the therapeutic approach, the tremor did not respond satisfactorily neither to propranolol nor to primidone. But with anticholinergics improvement of the tremor was verified.
原发性书写震颤由特定的运动活动诱发，通常是书写。从临床和治疗角度对该病例进行了分析。患者书写时出现震颤，无任何其他并发的神经改变。他既没有家族病史，也没有代谢、内分泌、医源性、中毒和创伤性病史。至于治疗方法，震颤对普萘洛尔和扑米酮均无满意反应。但使用抗胆碱能药物后震颤得到了改善。
