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Primary writing tremor treated by stereotactic selective thalamotomy.
  1. C Ohye,
  2. M Miyazaki,
  3. T Hirai,
  4. T Shibazaki,
  5. H Nakajima,
  6. Y Nagaseki


    Three cases with primary writing tremor were treated successfully by stereotactic selective thalamotomy centred mainly on the ventralis intermedius nucleus. They exhibited progressive coarse tremor of 5-7 Hz during writing, and Westphal's phenomenon on stretch, as the only neurological manifestations. Within the thalamus, a very high incidence of irregular burst discharges was recorded. These findings suggest that the writing tremor is an organic disorder.

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