以搖頭型頭部震顫為表現的乳癌併小腦轉移：一病例報告

A “No-No” Type Head Tremor in a Patient with Breast Cancer and Cerebellar Metastasis: Case Report

一名69歲女性患有乳腺浸潤性導管癌併轉移至小腦。自1999年以來，原發性腫瘤已透過手術，荷爾蒙和化學療法治療。此外，在14年期間還有多個腦、骨、肝和肺轉移，這些轉移的病灶都是透過其他化學療法治療。在這個個案報告中描述了患有乳腺癌的小腦轉移患者的情況，該患者頭部震顫的表現與原發性震顫相似。透過回顧研究和頭部震顫的表現，我們藉由討論這位患有小腦轉移的女性患者，確定原發性震顫的臨床特徵與搖頭型頭部震顫的比較，我們認為在被診斷患有小腦轉移的患者中發現的頭部震顫反映了原發性的震顫與小腦的關係。

 

A patient diagnosed with cerebellar metastasis experienced a “no-no” type head tremor, which mimics an essential tremor. We reviewed this case in an attempt to identify the demographic and clinical characteristics of essential tremors. A 69-year-old woman with breast infiltrating duct carcinoma metastasis to the cerebellum is presented. The primary tumor had been treated by surgery, hormone therapy, and chemotherapy14 years ago. Multiple brain, bone, liver, and lung metastases were also noted during this 14-year span, which were respectively treated with other courses of chemotherapy. Herein, we describe the case of a patient with cerebellar metastasis from breast carcinoma, which mimics head tremor. Having addressed the methodological issues, we believe that our finding of head tremors in our patient diagnosed with cerebellar metastasis reflects an important relationship in the cerebellum with essential tremors.