Oculopalatal tremor

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Oculopalatal tremor. The tremor involves extraocular and palatal muscles. Fully referenced neurology checklist.

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

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Causes

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Potential treatments

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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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