Avaliação de tremor

最后审阅: 14 Sep 2025
最后更新: 09 Nov 2022

小结

Differentials

Common

  • Doença de Parkinson (DP)
  • Demência com corpos de Lewy
  • Tremor fisiológico exacerbado
  • Hipoglicemia (tremor fisiológico aumentado)
  • Tireotoxicose (tremor fisiológico aumentado)
  • Abstinência alcoólica (tremor fisiológico aumentado)
  • Tremor essencial ou tremor essencial mais
  • Tremor induzido por medicamento
Full details

Uncommon

  • Atrofia de múltiplos sistemas
  • Paralisia supranuclear progressiva
  • Degeneração cortical basal
  • Tremor induzido por toxina
  • Parkinsonismo pós-encefalítico
  • Feocromocitoma (tremor fisiológico aumentado)
  • Tremor cerebelar (esclerose múltipla, trauma ou acidente vascular cerebral [AVC])
  • Síndrome de tremor e ataxia associada ao X-frágil
  • Tremor ortostático
  • Tremor da escrita primário
  • Tremor distônico
  • Doença de Wilson
  • Tremor rubral
  • Tremor funcional (psicogênico)
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.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Zesiewicz TA, Hauser RA. Phenomenology and treatment of tremor disorders. Neurol Clin. 2001;19:651-680. Abstract

Bhatia KP, Bain P, Bajaj N, et al. Consensus Statement on the classification of tremors. from the task force on tremor of the International Parkinson and Movement Disorder Society. Mov Disord. 2018 Jan;33(1):75-87.Full text  Abstract

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. Neurology. 2011 Nov 8;77(19):1752-5.Full text  Abstract

American College of Radiology. Appropriateness Criteria: movement disorders and neurodegenerative diseases. 2020 [internet publication].Full text

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • 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
    More Guidelines
  • Patient information

    AVC causado por um coágulo sanguíneo: prevenção de um novo AVC

    Doença de Parkinson: o que é?

    More Patient information
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