Abstract
AbstractHolmes’ tremor is a low‐frequency resting and intention tremor. Here, we report a case of spinocerebellar ataxia type 31 with an unusual presentation of Holmes’ tremor. We traced it to the development of Parkinson's disease in the patient. L‐dopa was insufficient for tremor, but zonisamide and ventralis intermedius thalamotomy were effective. Both cerebellar and dopaminergic system damage are thus required to express Holmes’ tremor.
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