The Differential Diagnosis and Treatment of Tremor
| Autor: | Kai Bötzel, Volker M. Tronnier, Thomas Gasser |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
medicine.medical_specialty
Continuing Medical Education Movement disorders therapy [Brain Diseases] diagnosis [Movement Disorders] Disease Diagnosis Differential complications [Brain Diseases] Physical medicine and rehabilitation Tremor complications [Movement Disorders] therapy [Tremor] Humans Medicine ddc:610 diagnosis [Brain Diseases] Brain Diseases Movement Disorders Essential tremor business.industry diagnosis [Tremor] therapy [Movement Disorders] etiology [Tremor] General Medicine medicine.disease Action tremor nervous system diseases Physical therapy Treatment strategy Intention tremor medicine.symptom Differential diagnosis business |
| Zdroj: | Deutsches Ärzteblatt international 111(13), 225-236 (2014). doi:10.3238/arztebl.2014.0225 |
| ISSN: | 1866-0452 |
| DOI: | 10.3238/arztebl.2014.0225 |
| Popis: | Essential tremor is the most common type of tremor, with a prevalence of 0.4% in the overall population and 4-7% in persons over age 65. In general, tremor is so common that patients with tremor are frequently treated not only by neurologists, but also by physicians from other specialties.This review is based on publications retrieved by a selective PubMed search and on guidelines from Germany and abroad.Particular tremor syndromes are usually diagnosed on the basis of their typical clinical presentation and whatever accompanying manifestations may be present. Ancillary tests are usually unnecessary. Unilateral rest tremor accompanied by rigidity and bradykinesia is typical of Parkinson's disease. Essential tremor is a bilateral postural tremor. The most common cause of intention tremor is multiple sclerosis. Mild tremor syndromes can often be treated satisfactorily with drugs. In case of severe tremor, which is rarer, a stereotactic operation can be considered. The usual outcome of such procedures is the complete suppression of tremor.Most patients with tremor can be given a precise diagnosis and offered specific treatment. It is important for the physician to inform the patient about the expected course of tremor over time, its possible genetic causes, and the various available treatments. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|