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Childhood head tremor.

F J DiMario1

  • 1University of Connecticut Department of Pediatrics, Connecticut Children's Medical Center, Hartford, USA. fdimari@ccmckids.org

Journal of Child Neurology
|January 21, 2000
PubMed
Summary
This summary is machine-generated.

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This study followed four children with head tremor, finding it can stem from shuddering spells and family history. Some cases showed mild dystonia, with variable treatment responses and spontaneous remission suggesting a benign course.

Area of Science:

  • Pediatric Neurology
  • Movement Disorders

Background:

  • Head tremor in children is a rare condition.
  • Understanding its etiology, clinical presentation, and prognosis is crucial for diagnosis and management.

Observation:

  • Four children (3 girls, 1 boy) aged 15 months to 11 years with head tremor were longitudinally studied.
  • Onset occurred between 5-10 months, characterized by "yes-yes" or "no-no" movements, sometimes with chin deviation.
  • Tremor worsened with upright posture and movement, absent during sleep; no voluntary suppression or sensation reported.

Findings:

  • Three children had prior shuddering spells; two developed mild dystonic leg posturing during concentration.
  • Neurological exams and investigations (MRI, CT, metabolic screening) were normal.
  • Family history of tremor or infantile shuddering was noted in two families.

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Implications:

  • Head tremor in children may evolve from shuddering spells and be linked to family history and mild dystonia.
  • Therapeutic responses to medications (beta-blockers, anticholinergics, etc.) were variable.
  • Spontaneous remission observed suggests a generally benign prognosis for this condition.