Journal
EUROPEAN NEUROLOGY
Volume 60, Issue 6, Pages 312-315Publisher
KARGER
DOI: 10.1159/000159929
Keywords
Palatal tremor; Palatal myoclonus; Guillain-Mollaret triangle; Hypertrophic inferior olivary nucleus; Neuronal coupling
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Symptomatic palatal tremor is caused by a lesion in the triangle of Guillain and Mollaret and is associated with hypertrophic olivary degeneration that has multiple causes. Essential palatal tremor has no currently demonstrable cause and no accompanying physical or radiological signs. But it is probable that an organic genesis will become apparent. I suggest that some examples of palatal tremor may depend on an 'upper motor neurone type', i.e. supranuclear, lesion in the striatum or rostral brainstem releasing medullary activation with denervation hypersensitivity of olivary neurones. Copyright (C) 2008 S. Karger AG, Basel
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