Approach to Tremor Disorders

Andrea Lee; Harini Sarva

doi:10.1055/s-0041-1726356

Seminars in Neurology, Table of Contents

Semin Neurol 2021; 41(06): 731-743
DOI: 10.1055/s-0041-1726356

Review Article

Approach to Tremor Disorders

Andrea Lee

¹Parkinson's Disease and Movement Disorders Institute, Division of Neurodegenerative Diseases, Department of Neurology, Weill Cornell Medicine, New York, New York

,

Harini Sarva

¹Parkinson's Disease and Movement Disorders Institute, Division of Neurodegenerative Diseases, Department of Neurology, Weill Cornell Medicine, New York, New York

› Author Affiliations

Abstract

Tremor disorders are diverse and complex. Historical clues and examination features play a major role in diagnosing these disorders, but diagnosis can be challenging due to phenotypic overlap. Ancillary testing, such as neuroimaging or laboratory testing, is driven by the history and examination, and should be performed particularly when there are other neurological or systemic manifestations. The pathophysiology of tremor is not entirely understood, but likely involves multiple networks along with the cerebello-thalamo-cortical pathways. Treatment options include medications, botulinum toxin, surgery, and nonpharmacologic interventions utilizing physical and occupational therapies and assistive devices. Further work is needed in developing accurate diagnostic tests and better treatment options for tremor disorders.

Keywords

tremor - pathophysiology - workup - treatments

Full Text

References

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