Palatal tremor (PT) is frequently caused by brainstem lesions. The inf
erior olive plays a major role in the pathophysiologic mechanisms invo
lved. We report a case of PT of cortical origin presenting as epilepsi
a partialis continua. EEG showed continuous left frontocentral epilept
iform discharges and both single photon emissioncomputed tomography (S
PECT) and positron emission tomography (PET) showed focal hypoperfusio
n and hypometabolism in the corresponding location.