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 CASE REPORT
Year : 2007  |  Volume : 55  |  Issue : 4  |  Page : 393--395

Postural tremor induced by paint sniffing


Department of Orthopedic and Trauma Surgery, Royal Perth Hospital, Perth, Western Australia, Australia

Correspondence Address:
Oliver P Gautschi
Royal Perth Hospital, Department of Orthopedic and Trauma Surgery, North Block, Level 5, Wellington Street, Perth 6000, WA
Australia
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0028-3886.37099

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Volatile substance abuse is the intentional inhalation of volatile solvents, aerosols, gases or nitrates for the purpose of intoxication. This practice is more common among young people, due, in part, to the low cost and ready availability of these inhalants. In this report, we present the case of a 22-year-old male with a seven-year history of chronic paint sniffing. The patient presented with vigorous postural and kinetic tremor in both hands. A neurological examination revealed a bilateral, non-fatiguing geotropic positional nystagmus and a mild ataxia together with dysdiadochokinesis. He also had a mild chronic encephalopathy. Following treatment with clonazepam, the tremors subsided, but were not completely controlled.






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Online since 20th March '04
Published by Wolters Kluwer - Medknow