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Vesna V. Brinar, MD, PhD; Barbara Barun, MD; Ivana Zadro, MD; David Ozreti, MD; Mario Habek, MD

Arch Neurol. 2008;65(9):1248-1249.

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

An otherwise healthy middle-aged woman was experiencing gait instability. Neurological examination revealed truncal ataxia. Family history was negative. Brain and spinal cord 1.5-T magnetic resonance imaging (MRI) was performed and yielded normal results. Thyroid hormone, vitamin B₁₂, and folic acid levels were normal. During the next 4 years, her walking difficulties progressed. She also developed palatal tremor. Repeated brain MRI revealed T2 hyperintensities in both olivary nuclei. Therefore, she was referred to our institution for further evaluation.

On admission, the patient had severe palatal tremor (a video is available here) with Romberg and walking instability. She had no signs of pyramidal or sensory involvement and cognitive examination results were normal. Magnetic resonance imaging (3-T) was performed and revealed atrophy of the vermis and both cerebellar hemispheres and bilateral symmetrical hyperintensity . . . [Full Text of this Article]

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RELATED LETTERS

Progressive Ataxia, Palatal Tremor, and the Romberg Sign
Hélio A. Teive and Renato P. Munhoz
Arch Neurol. 2009;66(2):284-285.
EXTRACT | FULL TEXT  

Progressive Ataxia, Palatal Tremor, and the Romberg Sign—Reply
Mario Habek
Arch Neurol. 2009;66(2):285.
EXTRACT | FULL TEXT  

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

Progressive Ataxia, Palatal Tremor, and the Romberg Sign
Teive and Munhoz
Arch Neurol 2009;66:284-285.
FULL TEXT