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Case Reports
. 2017 Nov 2:7:485.
doi: 10.7916/D8BR94Q6. eCollection 2017.

Dystonic Head Tremor and the Coexistence of Headache

Marit A Hulzenga  1 , Debbie Beumer  2 , Peter J Koehler  3
Affiliations
Case Reports

Dystonic Head Tremor and the Coexistence of Headache

Marit A Hulzenga et al. Tremor Other Hyperkinet Mov (N Y). .

Abstract

Background: Head tremor may be observed in the presence of cervical dystonia and sometimes coexists with headache. We wished to investigate the presence of headache in dystonic head tremor.

Methods: We studied the files of 19 patients from our outpatient clinic (1997-2017) with dystonic head tremor and assessed the co-occurrence of headache. We also performed a literature search of the topic.

Results: Cervicogenic headache was present in nearly 37% of patients with dystonic head tremor. More than 85% of our patients presented with a "no-no" head tremor.

Discussion: Headache is common in dystonic head tremor. Cervicogenic headache seems to be more frequent in patients with dystonic head tremor than in the general population. Future studies should compare the presence of cervicogenic headache in essential head tremor patients with that in patients suffering from dystonic head tremor.

Keywords: Cervicogenic headache; cervical dystonia; dystonic head tremor.

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Conflict of interest statement

Funding: None. Conflicts of Interest: The authors report no conflict of interest. Ethics Statement: This study was reviewed by the authors’ institutional ethics committee and was considered exempted from further review.

References

    1. Elble RJ. Defining dystonic tremor. Curr Neuropharmacol. 2013;11:48–52. doi: http://doi.org/10.2174/157015913804999478. - DOI - PMC - PubMed
    1. Headache Classification Committee of the International Headache Society (HIS) The International Classification of Headache Disorders, 3rd edition (beta version) Cephalalgia. 2013;33:629–808. doi: http://doi.org/10.1177/0333102413485658. - DOI - PubMed
    1. Knackstedt H, Bansevicus D, Aaseth K, Grande EB, Lundqvist C, Russel MB. Cervicogenic headache in the general population: the Akershus study of chronic headache. Cephalalgia. 2010;30:1468–1476. doi: http://doi.org/10.1177/0333102410368442. - DOI - PubMed
    1. Barbanti P, Fabbrini G, Pauletti C, Defazio G, Cruccu G, Berardelli A. Headache in cranial and cervical dystonia. Neurology. 2005;64:1308–1309. doi: http://doi.org/10.1212/01.WNL.0000156909.13677.FF. - DOI - PubMed
    1. Robakis D, Louis ED. Head tremor in essential tremor: “yes-yes”, “no-no”, or “round and round”? Parkinsonism Relat Disord. 2016;22:98–101. doi: http://doi.org/10.1016/j.parkreldis.2015.11.002. - DOI - PMC - PubMed

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