Medical College of Wisconsin
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Aqueductal stenosis presenting as isolated tremor: case report and review of the literature. Pediatr Neurosurg 2010;46(5):392-5

Date

03/18/2011

Pubmed ID

21412026

DOI

10.1159/000323419

Scopus ID

2-s2.0-79952613602   3 Citations

Abstract

Essential tremor is rare in children, particularly in the absence of a significant family history. We report the case of a child with compensated hydrocephalus secondary to aqueductal stenosis whose sole presenting symptom was tremor. An otherwise healthy 6-year-old male developed a fine hand tremor, which over the course of 4 years both increased in intensity and spread to involve the lower limbs and head. After an MRI had confirmed hydrocephalus due to aqueductal stenosis, the patient underwent an endoscopic third ventriculostomy. His tremor improved markedly, but did not completely resolve. Occult hydrocephalus should be considered in the differential diagnosis of new-onset tremor. Progression of the tremor should halt with treatment of the hydrocephalus, and clinical improvement may be seen.

Author List

Seiler FA, Lew SM

Author

Sean Lew MD Chief, Professor in the Neurosurgery department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Child
Diagnosis, Differential
Humans
Hydrocephalus
Male
Tremor