Assessment of tremor

Last reviewed: 2 Sep 2022
Last updated: 04 May 2022

Summary

Differentials

Common

  • Parkinson's disease (PD)
  • Dementia with Lewy bodies
  • 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
Full details

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
  • Orthostatic tremor
  • Primary writing tremor
  • Dystonic tremor
  • Wilson's disease
  • Rubral tremor
  • Functional (psychogenic) tremor
Full details

Contributors

Authors

Kelvin L. Chou, MD
Kelvin L. Chou

Professor of Neurology and Neurosurgery

University of Michigan

Ann Arbor

MI

Disclosures

KLC serves on the medical advisory board (unpaid position) for the International Essential Tremor Foundation.

Praveen Dayalu, MD
Praveen Dayalu

Associate Professor of Neurology

University of Michigan

Ann Arbor

MI

Disclosures

PD declares that he has no competing interests.

Peer reviewers

Aparna Wagle Shukla, null

Professor

Movement Disorders Division

Department of Neurology

University of Florida

Gainesville

FL

Disclosures

WS has been reimbursed by Merz, ES therapeutics, Sage, Jazz, and Acadia.

Paul Greene, MD

Associate Professor of Clinical Neurology

Yale School of Medicine

New Haven

CT

Disclosures

PG declares that he has no competing interests.

  • Guidelines

    • ACR Appropriateness Criteria: movement disorders and neurodegenerative diseases
    • Evidence-based guideline update: treatment of essential tremor: report of the Quality Standards Subcommittee of the American Academy of Neurology
    Guidelines
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    Parkinson's disease

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