Oculopalatal tremor

Evidence-based neurology checklist on oculopalatal tremor: Clinical features The tremor involves extraocular and palatal muscles It develops weeks or months after the insult It consists of low frequency oscillations Eye closure worsens eye oscillations There is dissociated pendular nystagmus The…

Clinical features

  • The tremor involves extraocular and palatal muscles
  • It develops weeks or months after the insult
  • It consists of low frequency oscillations
  • Eye closure worsens eye oscillations
  • There is dissociated pendular nystagmus
  • The neck, trunk, and limb muscles are occasionally involved
  • There may be associated delayed ataxia

Pathology

Causes

Potential treatments

References

  1. Shaikh AG, Hong S, Liao K, et al. Oculopalatal tremor explained by a model of inferior olivary hypertrophy and cerebellar plasticity. Brain 2010; 133:923-940.
  2. Lopez JL, Zee DS, Levi L. Eye closure and oculopalatal tremor. Neurology 2011; 77:1929.
  3. Kim JS, Moon SY, Choi K-D, Kim J-H, Sharpe JA. Patterns of ocular oscillation in oculopalatal tremor: imaging correlations. Neurology 2007; 68:1128-1135.
  4. Eggenberger E, Cornblath W, Stewart DH. Oculopalatal tremor with tardive ataxia. J Neuroophthalmol 2001; 21:83-86.
  5. Sudhakar P, Parmer H, Cornblath WT. Oculopalatal tremor in multiple sclerosis with spontaneous resolution. Neurol Clin Pract 2012; 2:255-257.
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