caa a22 4500 445355697 CHVBK 20180317142859.0 cr unu---uuuuu 170323e20111201xx s 000 0 eng 10.1007/s10072-011-0615-3 doi (NATIONALLICENCE)springer-10.1007/s10072-011-0615-3 Inflammatory myopathy in a patient with postural and kinetik tremor [Elektronische Daten] [Daniele Orsucci, Michelangelo Mancuso, Greta Alì, Valeria Calsolaro, Giulia Ricci, Sara Gori, Gabriele Siciliano] Essential tremor (ET) is a common neurological disease of unknown etiopathogenesis, possibly neurodegenerative, characterized by kinetic tremor at the arms. Here we reported the case of an HCV-positive patient with inflammatory myopathy, who did not develop typical neuromuscular signs or symptoms during at least 7years of hyperCKemia, in whom kinetic tremor of the arms was the prominent clinical feature, suggesting a possible diagnosis of ET. After 3months of treatment with corticosteroids/methotrexate, creatine kinase (CK) levels were nearly normal and the tremor was remarkably improved. To our knowledge, similar cases have not been previously reported. Postural tremor can be present in muscular diseases, but only very rarely tremor has been reported as a major clinical feature. Because inflammatory myopathies are potentially treatable conditions it is very important to consider this diagnosis. Our case suggests that in patients with isolated postural and kinetic tremor routine laboratory assays should include CK blood screening. Springer-Verlag, 2011 CPK nationallicence Creatine kinase nationallicence Dermatomyositis nationallicence HCV nationallicence IIM nationallicence Myositis nationallicence Orsucci Daniele Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut Mancuso Michelangelo Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut Alì Greta Division of Pathological Anatomy, University of Pisa, Pisa, Italy aut Calsolaro Valeria Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut Ricci Giulia Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut Gori Sara Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut Siciliano Gabriele Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut Neurological Sciences Springer Milan 32/6(2011-12-01), 1175-1178 1590-1874 32:6<1175 2011 32 10072 https://doi.org/10.1007/s10072-011-0615-3 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10072-011-0615-3 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Orsucci Daniele Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut NATIONALLICENCE 700 1- Mancuso Michelangelo Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut NATIONALLICENCE 700 1- Alì Greta Division of Pathological Anatomy, University of Pisa, Pisa, Italy aut NATIONALLICENCE 700 1- Calsolaro Valeria Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut NATIONALLICENCE 700 1- Ricci Giulia Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut NATIONALLICENCE 700 1- Gori Sara Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut NATIONALLICENCE 700 1- Siciliano Gabriele Department of Neuroscience, Neurological Clinic, University of Pisa, Via Roma 67, Pisa, Italy aut NATIONALLICENCE 773 0- Neurological Sciences Springer Milan 32/6(2011-12-01), 1175-1178 1590-1874 32:6<1175 2011 32 10072 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer