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Hélio A. Teive, MD, PhD; Renato P. Munhoz, MD

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

We read with great interest the article by Brinar et al¹ reporting a case of progressive ataxia and palatal tremor. They described a middle-aged woman with progressive cerebellar ataxia associated with severe palatal tremor. Magnetic resonance imaging showed atrophy of the vermis and both cerebellar hemispheres as well as bilateral symmetrical hyperintensity of olivary nuclei. They noted that on examination, the patient showed no signs of pyramidal or sensory involvement but had the Romberg sign and walking instability.

In fact, the Romberg sign, described by Moritz Heinrich Romberg as a loss of balance when closing the eyes, is associated with sensory ataxia and a dorsal columns abnormality.² Therefore, by definition, the presence of the Romberg sign indicates the implicit association with sensory dysfunction, not cerebellar disease.^2-3 Rombergism, on the other hand, is a term coined by Harding⁴ related to cerebellar . . . [Full Text of this Article]

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RELATED ARTICLE

Progressive Ataxia and Palatal Tremor
Vesna V. Brinar, Barbara Barun, Ivana Zadro, David Ozretic, and Mario Habek
Arch Neurol. 2008;65(9):1248-1249.
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Progressive Ataxia, Palatal Tremor, and the Romberg Sign—Reply
Mario Habek
Arch Neurol. 2009;66(2):285.
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