Tremor differential diagnosis: Difference between revisions
Zehra Malik (talk | contribs) |
Zehra Malik (talk | contribs) |
||
| Line 31: | Line 31: | ||
| [[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]] | ||
|- | |- | ||
| [[Physiologic Tremor]] || Postural tremor || High-[[frequency]], low-[[amplitude]]|| | | [[Physiologic Tremor]] || Postural tremor || High-[[frequency]], low-[[amplitude]] || | ||
|- | |- | ||
| [[Cerebellar Tremor]] || [[Intention tremor]] || Low [[frequency]] <4 Hz || Occurs in [[multiple sclerosis]], [[stroke]], [[cerebellar]] [[trauma]]. May feature [[ataxia]], [[dysmetria]], [[dysdiadochokinesia]], and [[dysarthria]]. | | [[Cerebellar Tremor]] || [[Intention tremor]] || Low [[frequency]] <4 Hz || Occurs in [[multiple sclerosis]], [[stroke]], [[brainstem]] [[tumor]], or [[cerebellar]] [[trauma]]. May feature [[ataxia]], [[dysmetria]], [[dysdiadochokinesia]], and [[dysarthria]]. | ||
|- | |- | ||
| [[Hypoglycemia]] || [[Basal ganglia]] || Quick involuntary movements (hyperkinesis) | | [[Hypoglycemia]] || [[Basal ganglia]] || Quick involuntary movements (hyperkinesis) | ||
Revision as of 03:27, 25 January 2021
|
Tremor Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Tremor differential diagnosis On the Web |
|
American Roentgen Ray Society Images of Tremor differential diagnosis |
|
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 |
| Physiologic Tremor | Postural tremor | High-frequency, low-amplitude | |
| Cerebellar Tremor | Intention tremor | Low frequency <4 Hz | Occurs in multiple sclerosis, stroke, brainstem tumor, or cerebellar trauma. May feature ataxia, dysmetria, dysdiadochokinesia, and dysarthria. |
| 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.