Essential Tremor ☺️ Flashcards
1
Q
Description
Epidemiology
Etiology and pathophysiology
A
Progressive neurological condition that is common and misdiagnosed as PD
Intention tremor - intensifies during voluntary mv
Postural tremor - present with sustained muscle tone
Typically in over 40s
2
Q
Presentation
A
Symmetrical tremor in upper limbs
-worse on voluntary mv, stress
-better with alcohol, rest
Postural tremor worse when arms outstretched
Tremulous voice
Head tremor
3
Q
How does this differ from a Parkinsonian tremor
A
Resting tremor - starts unilateral => bilateral
-no change with alcohol
-worse with stress and fatigue
Bradykinesia, cogwheel rigidity, gait disturbance
No head tremor
Low volume voice
4
Q
Management
A
Propanolol
Primidone occasionally used
