A Case of Primary Writing Tremor Type A

원발성 서자진전 A형 1예

Abnormal writing can result from a large variety of neurologic disorders of motor control. Primary writing tremor(PWT) in its pure form denotes occurrence of a disabling tremor induced by writing alone. Therefore PWT is typical task-specific tremor. PWT could be classified as either type A or type B. In a strict sense, type B PWT is not pure form of PWT because it is not task specific. We describe a case of PWT type A. A 53-year-old right handed policeman complained of a 4 year history of shaking of his right hand that interfered with writing. Tremor appeared during writing but not on adopting the hand position normally used for writing.

저자들은 최근 글을 쓰는 자세에서는 진전이 나타나지 않고 글을 쓸 때에만 진전이 나타나는 전형적인 원발성 진전 A형을 경험하였기에 이를 보고하며, 본 증례를 통해 원발성 서자진전 A형은 표현 양상으로는 서로 다르나 병태생리적으로 서자경련과 유사한 질환임을 추정해 볼 수 있었다.