Remarkable story of former coal miner with Trembling
This case has stayed in my memory for twenty five years. There was a coal mine disaster in Chasnala, Bihar (India) and the patient was a miner and trapped inside the coal mine over seventy two hours.
While being trapped, he gradually lost all the hope of being rescued. His battery lamp gradually dimmed and he was in complete panic. Finally he was rescued after 72 hours.
Six months after the accident, the man in his forties suffered from un-defined tremor and consulted various neurologists, who negated Parkinson's Disease but could not give a proper diagnosis of the condition.
Meanwhile the tremor of arms and legs were increasing gradually. The tremor started in both arms then progressed to the legs and the patient could not walk with his eyes closed and was trembling continually associated with profound weakness.
I tried Zincum Met. on the presenting features but this did not make any difference. I decided to go back to the aetiology and here I took the cause as being trapped in the coal mine for seventy two long hours and losing all hope of being rescued.