Tremor differential diagnosis: Difference between revisions
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| [[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]]. | | [[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]]. | ||
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| [[ | | [[Drug]] Induced Tremor || Can enhance rest, action, postural tremors || [[Amiodarone]], [[bronchodilators]], [[lithium]], [[metoclopramide]], [[neuroleptics]], [[theophylline]], [[valproate]] | ||
|- | |- | ||
| [[ | | [[Orthostatic]] Tremor || [[Essential tremor variant, high frequency 14 Hz-18 Hz|| Occurs in the legs on standing and is relieved by sitting down | ||
|} | |} | ||
Revision as of 03:51, 25 January 2021
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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 | Differentiating Feature of Tremor | Main Feature of Disease |
Essential tremor | 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 | Bradykinesia, micrographia, stooped posture, ataxia, 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. |
Drug Induced Tremor | Can enhance rest, action, postural tremors | Amiodarone, bronchodilators, lithium, metoclopramide, neuroleptics, theophylline, valproate |
Orthostatic Tremor | [[Essential tremor variant, high frequency 14 Hz-18 Hz | Occurs in the legs on standing and is relieved by sitting down |
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.