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Orthostatic tremor
  1. Leah Jones1,
  2. Peter G Bain2
  1. 1Medical Student, Imperial College London, London, UK
  2. 2Consultant Neurologist, Department of Clinical Neuroscience, Imperial College London, London, UK
  1. Correspondence to Dr PG Bain, Department of Clinical Neurosciences, Imperial College London, Charing Cross Hospital Campus, London W6 8RF, UK; p.bain{at}


Orthostatic tremor is characterised by a feeling of unsteadiness that is accompanied by a high frequency (13–18 Hz) tremor of the legs when standing, and which is relieved by sitting or walking. We describe a typical patient whose condition gradually progressed so that eventually he could no longer stand still. We discuss the clinical features, management and pathogenesis, and highlight the need for awareness of this condition because the diagnosis is often missed or delayed.

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  • Patient consent Obtained.

  • Competing interests None.

  • Provenance and peer review Commissioned; externally peer reviewed.

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