Thalamic tumour presenting with Holmes' tremor: diagnostic difficulties

Area of Science:

• Neurology
• Neuro-oncology

Background:

• Intracerebral tumors rarely manifest with tremor.
• Holmes' tremor is a specific type of tremor associated with lesions in the brainstem or cerebellum.

Observation:

• A 78-year-old female patient presented with Holmes' tremor.
• Diagnostic imaging revealed a thalamic tumor as the underlying cause.

Findings:

• The thalamic tumor was identified as the source of the patient's Holmes' tremor.
• Discussion includes the diagnostic considerations for tumors presenting with tremor.

Implications:

• This case underscores the importance of considering intracerebral tumors in the differential diagnosis of new-onset tremor.
• Understanding the pathophysiology and management strategies for thalamic tumors causing tremor is crucial for patient care.