Chin tremor in full-term neonate after hypoxia

• Main Authors: Mônica Ayres de Araújo Scattolin, Catherine Marx, Ruth Guinsburg, Marcelo Rodrigues Masruha, Luiz Celso Pereira Vilanova
• Format: Article
• Language: English
• Published: Associação Paulista de Medicina
• Series: São Paulo Medical Journal
• Subjects: Hypoxia, brain; Tremor; Chin; Infant, newborn; Neurology
• Online Access: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S1516-31802012000600009&lng=en&tlng=en

CONTEXT: Newborns may present a range of motor phenomena that are not epileptic in nature. Chin tremor is an unusual movement disorder that typically starts in early childhood and may be precipitated by stress and emotion. Its pathophysiology has not been fully elucidated. CASE REPORT: We describe a full-term newborn that, immediately after neonatal anoxia, presented body and chin tremors that were unresponsive to anti-epileptic drugs. Subsequent neurological evaluation revealed signs of pyramidal tract damage and chin tremor triggered by percussion and crying. We discuss the hypothesis that the anatomopathological abnormality may lie at the level of the higher cortical centers or midbrain. CONCLUSIONS: Further studies are needed in order to gain greater comprehension of neonatal tremors. Recognition of the various etiological possibilities and consequent management of treatable causes is essential for care optimization.