Last reviewed: March 2020
Last updated: December  2019

Summary

Differentials

Common

  • Parkinson's disease
  • Lewy body dementia
  • Enhanced physiological tremor
  • Hypoglycaemia (enhanced physiological tremor)
  • Thyrotoxicosis (enhanced physiological tremor)
  • Alcohol withdrawal (enhanced physiological tremor)
  • Essential tremor or essential tremor plus
  • Drug-induced tremor

Uncommon

  • Multiple system atrophy
  • Progressive supra-nuclear palsy
  • Cortical basal degeneration
  • Toxin-induced tremor
  • Post-encephalitic parkinsonism
  • Phaeochromocytoma (enhanced physiological tremor)
  • Cerebellar tremor (multiple sclerosis, trauma, or stroke)
  • Fragile X tremor ataxia syndrome (FXTAS)
  • Orthostatic tremor
  • Primary writing tremor
  • Dystonic tremor
  • Wilson's disease
  • Rubral tremor
  • Functional (psychogenic) tremor

Contributors

Kelvin L. Chou

Professor of Neurology and Neurosurgery

University of Michigan

Ann Arbor

MI

Disclosures

KLC serves on the medical advisory board for the International Essential Tremor Foundation and has received grants from Cavion. KLC receives royalties from UpToDate and Springer Publishing.

Praveen Dayalu

Associate Professor of Neurology

University of Michigan

Ann Arbor

MI

Disclosures

PD declares that he has no competing interests.

Peer reviewersVIEW ALL

Chair

Department of Neurology

Co-Director of Parkinson's Disease & Movement Disorders Center

Pennsylvania Hospital

Frank and Gladys Elliott Professor of Neurology

University of Pennsylvania School of Medicine

Philadelphia

PA

Disclosures

HH declares that he has no competing interests.

Pediatric Neurologist

Kinderneurologisches Zentrum Mainz

Mainz

Germany

Disclosures

RW declares that he has no competing interests.

Use of this content is subject to our disclaimer