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
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)
Contributors
Authors
Kelvin L. Chou, MD

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

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
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 GuidelinesPatient information
AVC causado por um coágulo sanguíneo: prevenção de um novo AVC
Doença de Parkinson: o que é?
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