The dancing disabling tongue: tongue tremor as a presentation for Parkinson’s disease

Even though Parkinson’s disease may rarely present with tremors of the mandible, the chin and the head, hardly does it present with disabling tongue tremors. We have only come across two cases in published literature. This is a case of a 63-year-old lady who presented with disabling tongue tremors and other unnoticed PD features who responded spectacularly to levodopa/carbidopa. Clinicians should be aware that PD may present with disabling tongue tremors. However, other PD features must be assessed for as PD remains a clinical diagnosis especially in rural third world. A history of neuroleptic use has to be elicited.