Sauerhoefer et al. Journal of Medical Case Reports 2011, 5:158 http://www.jmedicalcasereports.com/content/5/1/158 marked tremor. This reduced her avoidance behavior and hence also her exam anxiety. Further examination and case studies about the treat- ment and clinical course of this rare occurrence of severe psychogenic tremor in childhood and adolescence are much needed. Consent Written informed consent was obtained from the patient´s parents for publication of this case report, accompanying images and videos. A copy of the written consent is available for review by the Editor-in-Chief of this journal. Additional material Additional file 1: Tremor before therapy started. Video Additional file 2: Writing before therapy started. 2: Video Additional file 3: Writing with wrist brace. Video Additional file 4: Status after therapy. Video Acknowledgements Special thanks to Professor Gunther Moll for his editorial advice, Frank Bittner for his technical advice and Elisabeth Provan-Klotz MA for translating the manuscript. Authors’ contributions ES, CS and OK were involved in the diagnosis and therapy of the patient. ES drafted the manuscript. OK and CS revised the manuscript. All authors read and approved the final manuscript. Competing interests The authors declare that they have no competing interests. Received: 12 April 2010 Accepted: 20 April 2011 Published: 20 April 2011 References 1. Vanderlinden J, van Dyck R, Vandereycken W, Vertommen H: Dissociation and traumatic experiences in the general population in the Netherlands. Hosp Community Psychiatry 1993, 44(8):786-788. 2. Waller NG, Ross CA: The prevalence and biometric structure of pathological dissociation in the general population: taxometric and behavior genetic findings. J Abnorm Psychol 1997, 106(4):499-510. 3. Dafotakis M, Schönfeldt-Lecuona C, Fink GR, Nowak DA: [Psychogenic tremor]. Fortschr Neurol Psychiatr 2008, 76(11):647-654. 4. Couprie W, Wiijdicks EFM, Rooijmans HGM, van Gijn J: Outcome in conversion disorder: a follow up study. J Neurol Neurosurg Psychiatry 1995, 58(6):750-752. 5. Maisami M, Freeman JM: Conversion reactions in children as body language: a combined child psychiatry/neurology team approach to the management of functional neurologic disorders in children. Pediatrics 1987, 80(1):46-52. doi:10.1186/1752-1947-5-158 Cite this article as: Sauerhoefer et al.: Severe psychogenic tremor of both wrists in a 13-year-old girl treated successfully with a customized wrist brace: a case report. Journal of Medical Case Reports 2011 5:158. Page 4 of 4 Submit your next manuscript to BioMed Central and take full advantage of: • Convenient online submission • Thorough peer review • No space constraints or color ﬁgure charges • Immediate publication on acceptance • Inclusion in PubMed, CAS, Scopus and Google Scholar • Research which is freely available for redistribution Submit your manuscript at www.biomedcentral.com/submit