Essential Tremor

Question 1

What is benign essential tremor?

Answer 1

A relatively common condition associated with older age characterized by a fine tremor of the voluntary muscles

Most notable in the hands but can affect other areas including head and jaw.

Question 2

What are the clinical features of benign essential tremor?

Answer 2

Characteristics include:
* Fine tremor (6-12hz)
* Symmetrical
* More prominent with voluntary movement
* Worse when tired, stressed, or after caffeine
* Improves with alcohol
* Absent during sleep

None of these features are harmful or require treatment if not causing functional or psychological problems.

Question 3

List the differential diagnoses for benign essential tremor.

Answer 3

• Parkinson’s
• Multiple sclerosis
• Huntington’s chorea
• Hyperthyroidism

These conditions may present with similar symptoms and should be considered during diagnosis.

Question 4

What medications can be used to improve symptoms of benign essential tremor?

Answer 4

• Propranolol
• Primidone (barbiturate anti-epileptic)

These medications may help reduce the severity of the tremor.

Question 5

True or False: Benign essential tremor improves with alcohol.

Answer 5

True