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Mark Hallett, MD

JAMA. 1991;266(8):1115-1117.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SELECTED CASE

A 60-YEAR-OLD right-handed man complained of tremor when writing. He had been an accountant for much of his professional life and about 5 years earlier had begun to experience tremor of his right hand only when writing. The tremor gradually worsened, making it difficult to write legibly. Legibility was improved by writing slowly but doing so reduced productivity. He consulted several physicians, who diagnosed essential tremor. Trials of propranolol hydrochloride and primidone did not help. By age 58 years, he was embarrassed by this problem and retired.

The problem continued to worsen, but, because the demand for writing was minimal, he could cope. The patient consulted his physician because of difficulty in signing checks. He had no other neurological complaints. Family history of tremor was negative, and examination showed only a problem with writing. There was no tremor at rest, on maintaining a posture, or with the finger-to-nose . . . [Full Text PDF of this Article]

Author Affiliations
From the Human Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, Bethesda, Md.

Footnotes
Reprint requests to Human Motor Control Section, Medical Neurology Branch, National Institute of Neurological Disorders and Stroke, Bldg 10, Room 5N-226, National Institutes of Health, Bethesda, MD 20892 (Dr Hallett).

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