Summary
Definition
History and exam
Key diagnostic factors
- postural and/or kinetic tremor
- problems with fine motor tasks
Other diagnostic factors
- abatement of tremor after consumption of alcohol, benzodiazepines, barbiturates, or gabapentin
- head or voice tremor
- rest tremor
Diagnostic investigations
Investigations to consider
- CT or MRI scan of the head
- serum ceruloplasmin
- 24-hour urine copper
- TFTs
- tremor physiology studies
- single-photon emission computed tomography (SPECT) scan of the head
Treatment algorithm
Contributors
Authors
Sheng-Han Kuo, MD
Assistant Professor of Neurology
College of Physicians and Surgeons
Columbia University
New York
NY
Disclosures
S-HK is an author of a number of references cited in this monograph.
Ming-Kai Pan, MD, PhD
Assistant Professor of Neurology
College of Medicine
National Taiwan University
Tapei
Taiwan
Disclosures
M-KP declares that he has no competing interests.
Acknowledgements
Dr Sheng-Han Kuo and Dr Ming-Kai Pan would like to gratefully acknowledge Dr Zoltan Mari, Dr Martin Kronenbuerger, Dr Adam Burdick, and Dr Kelly D. Foote, previous contributors to this monograph. ZM has directed various educational programs, accredited (CME) by Johns Hopkins University, and has accepted honoraria for consulting. MK, AB, and KDF declare that they have no competing interests.
Peer reviewers
Roger Weis, MD
Pediatric Neurologist
Kinderneurologisches Zentrum Mainz
Mainz
Germany
Disclosures
RW declares that he has no competing interests.
Cory Toth, BSc, MD, FRCP(C)
Assistant Professor of Neurosciences
Hotchkiss Brain Institute
University of Calgary
Alberta
Canada
Disclosures
CT declares that he has no competing interests.
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