Postural Tremor Caused by Hirayama Disease Mimicking Essential Tremor

Nina Xie, Qiying Sun, Guang Yang · 2024

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Description

Nina Xie, Qiying Sun, and Guang Yang published a 2024 case report of a young man whose hand tremor looked like essential tremor but came from a rare neck condition. The patient, aged 20, had five years of worsening tremor in both hands. Tests showed mild wasting of the finger muscles and nerve changes in the lower neck segments. A spine scan taken with the neck bent showed the widened space and flow patterns that mark Hirayama disease, a condition that affects young men.

The authors list the clues that separate this tremor from essential tremor. The tremor struck the finger joints more than the wrists, the drawing spirals looked wrong for that diagnosis, and there was no family history. Muscle wasting in one hand was another red flag. They urge full exams for young men with hand tremor so the true cause is not missed.

Catalog record

CREATORNina Xie, Qiying Sun, Guang Yang
YEAR2024
COLLECTIONPAPERS
FORMATTXT
FILE SIZE10 KB
VERSION1.0
LICENSECC BY 4.0
RIGHTSCC BY
SOURCEEurope PMC

Source: https://europepmc.org/articles/PMC11639689

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