Cerebellar input tremor
Inferior or superior cerebellar peduncle lesion?
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To the Editor: I read with interest the Clinical/Scientific Note on cerebellar input tremor by Dr. Albin.1 Dr. Albin describes a case of post-traumatic subependymal bleeding on the left wall of the fourth ventricle. The patient was discharged with left arm incoordination. After 3 months, the patient complained of possible worsening of coordination in the left hand and noted onset of left-hand tremor, most prominent in the fifth digit. The tremor was "reminiscent of moderate essential tremor." MRI examination demonstrated low signal intensity in T2-weighted images on the left margin of the fourth ventricle, consistent with residual hemosiderin. Slight hyperintensity and swelling …
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