INFANTILE TREMOR SYNDROME CASE REPORT

Abstract

AIM: To present a rare case of infantile tremor syndrome secondary to nutritional defficiency

INTRODUCTION

Infantile tremor syndrome is rare condition caused by coarse tremor, anaemia, regression of

Motor and mental milestones in children around one year of age. In india, accounts for 0.2 to 2

%  of Pediatric hospital admissions.

CASE REPORT: A 8 months male child brought with complaints of devlopmental delay and coarse tremors more during activity, decreased by sleep. On examination pallor, greying of hair andhyperpigmentation of knuckles, palms, tongue. Peripheral smear macrocytic anaemia (MCV -110) and  vitamin B12(<50pg/ml). MRI brain shows atrophy of frontal & parietal lobes & prominent subdural space. Child was treated vitaminB12, zinc , Mgso4, Iron. VitaminB12 is given on alternate day for 2 weeks followed by weekly twice for 6 months, then monthly once.

CONCLUSION

In acase with developmental delay, malnutrition tremors , hyperpigmentation  in  age  group of 6-18 months consider Infantile tremor syndrome