Vanood Aimen, McConnell Ruth H, Demaerschalk Bart M
Department of Neurology, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USA.
Department of Radiology, Mayo Clinic College of Medicine and Science, Phoenix, Arizona, USA.
Case Rep Neurol Med. 2025 Sep 2;2025:9145358. doi: 10.1155/crnm/9145358. eCollection 2025.
Tremor is a common symptom encountered in outpatient practice, particularly within a neurology movement disorder clinic. However, tremor can also be pertinent to inpatient medicine and can warrant emergent evaluation. We describe a case of a 72-year-old female who developed acute onset postural head tremor without appendicular tremor during a hospital admission for chest pain and leukostasis. This case explores the localization of tremor and the differential diagnosis of head tremor specifically. Additionally, this report serves as a reminder to consider ischemic stroke in the diagnostic evaluation of acute onset neurological symptoms.
震颤是门诊实践中常见的症状，尤其是在神经科运动障碍门诊。然而，震颤在住院患者中也较为常见，需要紧急评估。我们描述了一例72岁女性患者，在因胸痛和白细胞淤滞住院期间，出现了急性姿势性头部震颤，而无肢体震颤。本病例专门探讨了震颤的定位以及头部震颤的鉴别诊断。此外，本报告提醒在急性发作的神经系统症状的诊断评估中要考虑缺血性中风。
