Holmes Tremor Secondary to a Stabbing Lesion in the Midbrain

Tremor and Other Hyperkinetic Movements

article

Rubens Gisbert Cury¹  Egberto Reis Barbosa¹  Christian Freitas¹  Luis Filipe de Souza Godoy²  Wellingson Silva Paiva³ 

[1] Movement Disorders Center, Department of Neurology, School of Medicine, University of São Paulo;Diagnostic Neuroradiology Division, Institute of Radiology, School of Medicine, University of Sao Paulo;Division of Neurosurgery, School of Medicine, University of São Paulo

关键词: Midbrain;    trauma;    tremor;   

DOI  :  10.5334/tohm.386

学科分类：社会科学、人文和艺术（综合）

来源: Ubiquity Press

【 摘 要 】

Background: The development of Holmes tremor (HT) after a direct lesion of the midbrain has rarely been reported in the literature, although several etiologies have been linked with HT, such as stroke, brainstem tumors, multiple sclerosis, head trauma, or infections. Phenomenology Shown: A 31-year-old male, having been stabbed in the right eye, presented with a rest and action tremor in the left upper limb associated with left hemiparesis with corresponding post-contrast volumetric magnetic resonance imaging T1 with sagittal oblique reformation showing the knife trajectory reaching the right midbrain. Educational Value: Despite the rarity of the etiology of HT in the present case, clinicians working with persons with brain injuries should be aware of this type of situation.

【 授权许可】

CC BY