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Essential Tremor Syndrome

Jennifer Svarverud, DO and Pamela Hughes, MD Reviewed 06/2018
 


BASICS

DESCRIPTION

  • A postural (occurring with voluntary maintenance of a position against gravity) or kinetic (occurring during voluntary movement) flexion–extension tremor that is slow and rhythmic an...

DIAGNOSIS

HISTORY

  • Core criteria for diagnosis

    • Bilateral (less likely unilateral) action (postural or kinetic) tremor of the hands and forearms that is most commonly asymmetric

    • Absence of other neurolog...

TREATMENT

MEDICATION

Pharmacologic treatment should be considered when tremor interferes with activities of daily living (ADLs) or causes psychological distress. 

First Line

ONGOING CARE

DIET

Avoid caffeine

PATIENT EDUCATION

Although essential tremor can cause significant impairment in daily functioning, it does not decrease life expectancy. 

PROGNOSIS

Tremor tends to worsen...

REFERENCES

1 Zesiewicz TA, Elble RJ, Louis ED, et al. Evidence-based guideline update: treatment of essential tremor: report of the Quality Standards Subcommittee of the American Academy of Neurology...

ADDITIONAL READING

  • Bain P, Brin M, Deuschl G, et al. Criteria for the diagnosis of essential tremor. Neurology.  2000;54(11 Suppl 4):S7.  [View Abstract]

  • Buijink AW, Contarino MF, Koelman JH, et ...

CODES

ICD10

G25.0 Essential tremor 

ICD9

333.1 Essential and other specified forms of tremor 

SNOMED

  • 609558009 Essential tremor (disorder)

  • 609559001 Hereditary essential tremor (disorder)

CLINICAL PEARLS

  • Core criteria for diagnosis of essential tremor include bilateral action or postural tremor of the hands, forearm, and/or head without a resting component.

  • Beneficial response to alcoho...

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