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Postural tremor induced by paint sniffing

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Author(s): Gautschi Oliver | Cadosch Dieter | Zellweger Rene

Journal: Neurology India
ISSN 0028-3886

Volume: 55;
Issue: 4;
Start page: 393;
Date: 2007;
Original page

Keywords: Chroming | inhalant abuse | paint sniffing | postural tremor | sniffing | toluene

ABSTRACT
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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