Neurology_Tremor DDX

Question 1

Types of Tremor and DDx:

Answer 1

Resting
- Parkinson’s disease

Action/Postural Tremor

• Essential Tremor
• Alcohol Withdrawal
• Physiological
• Hyperthyroidism
• Hypoglycemia

Intention Tremor [nil tremor at rest, tremor @ onset of movement, increases when target is approached)
- Cerebellar Disease

Metabolic [flapping, hyperextension of wrists]

• Wilson’s
• Hepatic Encephalopathy

Question 2

Difference between essential tremor & resting tremor of parkinson’s

Answer 2

Parkinsons = slower vs essential tremor = faster