This Article  • Full text  • PDF  • Reply to article  • Send to a friend  • Save in My Folder  • Save to citation manager  • Permissions  Citing Articles  • Contact me when this article is cited  Related Content  • Related article  • Related letter  • Similar articles in this journal  Topic Collections  • Ataxia  • Tremor  • Diagnosis  • Alert me on articles by topic  Social Bookmarking   What's this?

Mario Habek, MD

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

In reply

My coauthors and I thank Drs Teive and Munhoz for their interesting comments. We agree with the comments regarding distinction between the classic Romberg sign and rombergism. In our article, we stated that the patient had Romberg and walking instability, meaning that the patient had axial body swaying with the eyes both open and closed in the Romberg position and when walking, and we never said that she had a positive Romberg sign.

We also agree that the differential diagnosis of palatal tremor is wide and many diseases must be excluded. Our patient did not have symptoms attributable to the autonomic nervous system, thus excluding the possibility of multiple system atrophy. Classic signs of progressive supranuclear palsy, vertical eye movement impairment, parkinsonism, and cognitive decline were not present. Also, the absence of gastrointestinal symptoms, arthralgias, arthritis, and fever pointed against Whipple disease. Concerning Alexander disease, . . . [Full Text of this Article]

AUTHOR INFORMATION



CiteULike    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter     What's this?

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.
EXTRACT | FULL TEXT  

RELATED LETTER

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