Case Rep Neurol. 2010 Jan 15;2(1):1-4. doi: 10.1159/000264609.
Case reports in neurology
F Leblhuber, K Steiner
PMID: 20689627 PMCID: PMC2914364 DOI: 10.1159/000264609
This case report demonstrates a satisfying response to topiramate in a 79-year-old patient with disabling essential tremor in whom propranolol as well as primidone had to be discontinued due to severe side effects. After 28 months of topiramate treatment, a clear decline in Mini Mental State Examination (MMSE) could be observed, stressing the use of care in prescribing topiramate in elderly patients.