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Rest and other types of tremor in adult-onset primary dystonia.

Roberto ErroIgnacio Rubio-AgustiTabish A SaifeeCarla CordivariChristos GanosAmit BatlaKailash P Bhatia
Published in: Journal of neurology, neurosurgery, and psychiatry (2013)
Here we show that tremor is a common feature of patients with adult-onset primary dystonia. It may involve different body segments, with the head being the most commonly affected site. Arm tremor is also frequent (postural>kinetic>rest), occurring in up to one-third of cases. There is a suggestion of a stronger tendency for spread of dystonic features in patients with associated tremor. Dystonic tremor is under-reported and this underscores the importance of careful clinical examination when assessing tremulous patients without overt dystonia.
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