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Age and Ageing Advance Access originally published online on February 28, 2009
Age and Ageing 2009 38(3):352-353; doi:10.1093/ageing/afp008
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© The Author 2009. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oxfordjournals.org

Case Report

Shaky legs? Think POT!

J. Ramtahal and A. J. Larner

Walton Centre for Neurology and Neurosurgery, Lower Lane, Fazakerley, Liverpool, L9 7LJ, UK

Address correspondence to: A. J. Larner. Tel: 0151 529 5727; Fax: 0151 529 8552. Email: a.larner{at}thewaltoncentre.nhs.uk

Abstract

Primary orthostatic tremor (POT) may be a cause of postural instability in older people. Though unusual, this condition is relatively easily diagnosed, based in part on typical clinical features, impacts on quality of life, and is amenable to symptomatic treatment (Heilman KM. Orthostatic tremor. Arch Neurol 1984; 41: 880–1). We present three cases seen in a general neurology clinic over a 15-month period to highlight the typical clinical features which should alert clinicians to the possibility of this diagnosis.

Keywords: primary orthostatic tremor, postural instability, diagnosis, elderly

Received 2 December 2008; accepted in revised form 30 January 2009.


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