Tongue tremor in brainstem pilocytic astrocytoma

An isolated tremor of the tongue developed in a 22-year-old female patient in a minimally conscious state. The patient was diagnosed with brainstem pilocytic astrocytoma. A widespread lesion of the brainstem and cerebellum was evident on cranial magnetic resonance imaging. The pathophysiology of isolated tongue tremor is discussed with the magnetic resonance findings and the relevant literature.