ABSTRACT
CASE PRESENTATION This 45-year-old otherwise healthy woman developed tremor of the right hand 14 years prior to presentation. The tremor subsequently spread to the left leg, right leg, and left hand. The right hand tremor was worse with action whereas the left hand tremor was prominent at rest and while holding the arm outstretched. The left leg tremor improved with levodopa but she continued to have significant impairment from the tremor in the upper limbs. When she came to our attention, the patient also complained of occasional light-headedness and visual impairment (‘goes gray’). Walking was reported as ‘less balanced’ in the evenings and she occasionally fell when getting dressed. Walking downstairs was impaired, but not going upstairs.
