Tremor differential diagnosis: Difference between revisions
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| '''Common Cause of Tremor''' || '''Type of Tremor''' || '''Differentiating Feature of Tremor''' || '''Main Feature of Disease''' | | '''Common Cause of Tremor''' || '''Type of Tremor''' || '''Differentiating Feature of Tremor''' || '''Main Feature of Disease''' | ||
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| [[Essential tremor]] || Action - Postural Tremor || [[Frequency]] 4–12 Hz, Bilateral onset || [[gait]] [[ataxia]], [[vestibulocerebellar]] involvement, reduced by [[alcohol]] | | [[Essential tremor]] || Action - Postural Tremor || [[Frequency]] 4–12 Hz, Bilateral onset || [[gait]] [[ataxia]], [[vestibulocerebellar]] involvement, reduced by [[alcohol]], [[family history]], [[stress]]/[[fatigue]] can increase tremor [[amplitude]] | ||
|- | |- | ||
| [[Parkinson’s disease]] || Resting Tremor || Unilateral onset || Slow movement, [[stooped posture]], difficulty walking, [[rigidity]] [[imbalance]], [[depression]], [[apathy]] | | [[Parkinson’s disease]] || Resting Tremor || Unilateral onset || Slow movement, [[stooped posture]], difficulty walking, [[rigidity]] [[imbalance]], [[depression]], [[apathy]] | ||
|- | |- | ||
| Enhanced [[Physiologic Tremor]] || || high-[[frequency]], low-[[amplitude]]|| | | Enhanced [[Physiologic Tremor]] || Postural tremor || high-[[frequency]], low-[[amplitude]]|| | ||
|- | |- | ||
| [[ | | [[Cerebellar Tremor]] || Unilateral [[upper motor neuron]] || Weakness, reduced range of motion, decreased fine motor control of tongue & lips | ||
|- | |- | ||
| [[Multiple sclerosis]] || [[Cerebellum]] || Poorly coordinated movements of speech mechanism, scanning/drunken speech | | [[Multiple sclerosis]] || [[Cerebellum]] || Poorly coordinated movements of speech mechanism, scanning/drunken speech | ||
Revision as of 02:55, 25 January 2021
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Tremor Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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Tremor differential diagnosis On the Web |
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American Roentgen Ray Society Images of Tremor differential diagnosis |
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Risk calculators and risk factors for Tremor differential diagnosis |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]
Overview
Tremor must be differentiated from other diseases that cause myoclonus, clonus, asterixis, and epilepsia partialis continua.
OR
[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].
Differentiating [Disease name] from other Diseases
[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].
OR
[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].
OR
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6][1].
| Common Cause of Tremor | Type of Tremor | Differentiating Feature of Tremor | Main Feature of Disease |
| Essential tremor | Action - Postural Tremor | Frequency 4–12 Hz, Bilateral onset | gait ataxia, vestibulocerebellar involvement, reduced by alcohol, family history, stress/fatigue can increase tremor amplitude |
| Parkinson’s disease | Resting Tremor | Unilateral onset | Slow movement, stooped posture, difficulty walking, rigidity imbalance, depression, apathy |
| Enhanced Physiologic Tremor | Postural tremor | high-frequency, low-amplitude | |
| Cerebellar Tremor | Unilateral upper motor neuron | Weakness, reduced range of motion, decreased fine motor control of tongue & lips | |
| Multiple sclerosis | Cerebellum | Poorly coordinated movements of speech mechanism, scanning/drunken speech | |
| Hypoglycemia | Basal ganglia | Quick involuntary movements (hyperkinesis) | |
| Alcoholism | Action - Postural Tremor | Less movement (hypokinesis), increased muscle tone | |
| Hyperthyroidism | Action - Postural Tremor | Mixed presentation |
References
- ↑ Deuschl G, Elble R (2009). "Essential tremor--neurodegenerative or nondegenerative disease towards a working definition of ET". Mov Disord. 24 (14): 2033–41. doi:10.1002/mds.22755. PMID 19750493.