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. 2014 Apr;7(1):22-4.
doi: 10.14802/jmd.14005. Epub 2014 Apr 30.

Giant middle fossa epidermoid presenting as holmes' tremor syndrome

Bindu Menon  1 , P Sasikala  2 , Amit Agrawal  3
Affiliations

Giant middle fossa epidermoid presenting as holmes' tremor syndrome

Bindu Menon et al. J Mov Disord. 2014 Apr.

Abstract

Intracranial dermoids may gradually reach an enormous size before the onset of symptoms. Common clinical presentations of intracranial epidermoid include headache and seizures. We present a case of a 35-year female patient with giant middle fossa epidermoid that presented with Holmes' tremor syndrome, and we review the relevant literature. To the best of our knowledge, such a presentation has not previously been described in the literature.

Keywords: Epidermoid cyst; Essential tremor; Intention tremor; Movement disorders; Rubral tremor; Tremor.

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Figures

Figure 1
Figure 1
Pre-operative plain CT scan brain showing non-enhancing hypodense extensive mass lesion in the left fronto-temporo-parietal area with mass effect and midline shift.
Figure 2
Figure 2
Follow-up scan showing reduction in the mass effect and midline shift.
See this image and copyright information in PMC

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