İbrahim ÖZTOPRAK, Özlem YILDIZ KAYIM, Hatice BALABAN, Suat TOPAKTAŞ, Ertuğrul BOLAYIR

Symptomatic palatal tremor is not limited to the activity of guillain-mollaret triangle: A functional magnetic resonance imaging case study

Elliyedi yaşında erkek hasta altı aydır olan konuşma ve yutma zorluğu nedeni ile kliniğimizebaşvurdu. Muayenede ritmik palatal tremor ve solda üst ekstremite kaslarında miyoritmi görüldü.Beyin manyetik rezonans görüntüleme çalışmasında oliver çekirdekte hipertrofik dejenerasyon,dentat çekirdek patolojisi, Wallerian dejenerasyon ve sol parietal hemisferde kistikensefalomalazik alan görüldü. Fonksiyonel manyetik rezonans görüntülemede her iki globuspallidus ve talamusta belirgin aktivasyon tespit edildi. Bu olgu çalışmasından elde edilen sonuçlar;palatal tremorda görülen istemsiz hareketlerin olivar çekirdeğin disinhibisyonu sonucu bazalçekirdekler tarafından oluşturulduğunu düşündürmüştür.

Semptomatik palatal tremor guillain-mollaret üçgeninin aktivitesi ile sınırlı değildir: Bir fonksiyonel manyetik rezonans görüntüleme olgu çalışması

A 57-year-old man was admitted to our clinic because of speech and swallowing disorder for sixmonths. Palatal tremor and left upper extremity myorhythmia appeared on examination. Magneticresonance imaging showed hypertrophic olivary degeneration, dentate pathology, Walleriandegeneration, and left parietal cystic encephalomalacia. Functional magnetic resonance imagingstudy of the brain showed prominent activation on the bilateral globus pallidus and thalamus. Wesuggest that involuntary movements were introduced by the nuclei of the basal ganglia as a resultof olivary dysinhibition.

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