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Reading: Holmes Tremor Secondary to a Stabbing Lesion in the Midbrain

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Holmes Tremor Secondary to a Stabbing Lesion in the Midbrain

Authors:

Rubens Gisbert Cury ,

Movement Disorders Center, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, BR
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Egberto Reis Barbosa,

Movement Disorders Center, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, BR
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Christian Freitas,

Movement Disorders Center, Department of Neurology, School of Medicine, University of São Paulo, São Paulo, BR
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Luis Filipe de Souza Godoy,

Diagnostic Neuroradiology Division, Institute of Radiology, School of Medicine, University of Sao Paulo, Sao Paulo, BR
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Wellingson Silva Paiva

Division of Neurosurgery, School of Medicine, University of São Paulo, São Paulo, BR
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Abstract

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.

How to Cite: Cury RG, Barbosa ER, Freitas C, de Souza Godoy LF, Paiva WS. Holmes Tremor Secondary to a Stabbing Lesion in the Midbrain. Tremor and Other Hyperkinetic Movements. 2017;7:523. DOI: http://doi.org/10.7916/D8TF08ZT
Published on 05 Dec 2017.
Peer Reviewed

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