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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).
See this image and copyright information in PMC

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