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Case Reports
. 2010 Jan 15;2(1):1-4.
doi: 10.1159/000264609.

Topiramate Treatment of Essential Tremor in a Patient with Cognitive Deficits

F Leblhuber  1 , K Steiner
Affiliations
Case Reports

Topiramate Treatment of Essential Tremor in a Patient with Cognitive Deficits

F Leblhuber et al. Case Rep Neurol. .

Abstract

This case report demonstrates a satisfying response to topiramate in a 79-year-old patient with disabling essential tremor in whom propranolol as well as primidone had to be discontinued due to severe side effects. After 28 months of topiramate treatment, a clear decline in Mini Mental State Examination (MMSE) could be observed, stressing the use of care in prescribing topiramate in elderly patients.

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Figures

Fig. 1
Fig. 1
Patient's writing and drawing under medication of bupranolol 60 mg and diazepam 2.5 mg (a), primidone 250 mg (b) and topiramate 100 mg (c, d).
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