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Post-traumatic tremor.

N Biary1, L Cleeves, L Findley

  • 1Department of Neurology, University of Illinois, Chicago.

Neurology
|January 1, 1989
PubMed
Summary
This summary is machine-generated.

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Mild head trauma can cause a rare tremor, appearing weeks later with no loss of consciousness. This tremor, resembling essential tremor, may involve hands and head, with some response to medications.

Area of Science:

  • Neurology
  • Neurotraumatology

Background:

  • Head injuries are common, but post-traumatic tremor is rarely documented.
  • Understanding the spectrum of neurological sequelae following mild head trauma is crucial.

Observation:

  • Seven cases of tremor following mild head injury without loss of consciousness are presented.
  • Symptoms manifested 1-4 weeks post-trauma, presenting as postural and kinetic hand/head tremor.
  • Myoclonic-like jerking was common; other neurological signs were absent.

Findings:

  • Neuroimaging studies were unremarkable in all cases.
  • Clonazepam reduced tremor in three patients; propranolol aided one patient.
  • The tremor characteristics were similar to essential tremor.

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Implications:

  • This suggests a distinct, albeit rare, tremor syndrome following head trauma.
  • Further research is needed to elucidate the pathophysiology and optimal management.
  • Clinicians should consider head trauma in the differential diagnosis of tremor, even in mild cases.