Case 38-1985

Abstract

Presentation of CaseA 66-year-old right-handed man was admitted to the hospital because of increasing motor dysfunction of the left extremities.He was well until five years earlier, when he began to notice rigidity and discomfort of the right upper extremity that were most pronounced at the shoulder. The rigidity worsened, and a rapid-action tremor developed in the right upper extremity and increased in amplitude with intention. Hypertension was found, and the administration of propranolol was followed by slight improvement in the tremor. During the next three years the rigidity of the right hand progressed to the extent that he . . .