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Part of the book series: Journal of Neural Transmission. Supplementa ((NEURAL SUPPL,volume 56))

Summary

The differential diagnosis of tremor is based on the clinical distinction of rest, postural and intention tremor and the presence of additional clinical signs and data from the medical history. The most common pathological tremors are essential tremor and the tremors of Parkinson’s disease. Among the patients with essential tremor those with intention tremor are often misdiagnosed as cerebellar tremors. Patients with monosymptomatic resting tremors represent a special subgroup of Parkinson’s disease. Primary orthostatic tremor and dystonic tremor are rare clinical syndromes which have recently been well defined. Holmes’ tremors are defined by their low frequency and the occurence of resting and intention tremor. Palatal tremor can be separated into two subgroups. Psychogenic tremor can be diagnosed on the basis of clinical criteria. The gold standard of tremor differential diagnosis is still based on clinical criteria.

This contribution is based on two recently published overviews (Deuschl et aI., 1998; Krack et al., 1998).

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References

  • Bain PG, Findley LJ, Thompson PD, Gresty MA, Rothwell JC, Harding AE, Marsden CD (1994) A study of hereditary essential tremor. Brain 117: 805–824

    Article  PubMed  Google Scholar 

  • Bain PG, Britton TC, Jenkins IH, Thompson PD, Rothwell JC, Thomas PK, Brooks DJ, Marsden CD (1996) Tremor associated with benign IgM paraproteinaemic neuropathy. Brain 119: 789–799

    Article  PubMed  Google Scholar 

  • Brooks DJ (1993) PET studies on the early and differential diagnosis of Parkinson’s disease. Neurology 43

    Google Scholar 

  • Dalakas MC, Teravainen H, Engel WK (1984) Tremor as a feature of chronic relapsing and dysgammaglobulinemic polyneuropathies. Incidence and management. Arch Neurol 41: 711–714

    Article  PubMed  CAS  Google Scholar 

  • Deuschl G, Mischke G, Schenck E, Schulte-Mönting J, Lucking CH (1990) Symptomatic and essential rhythmic palatal myoclonus. Brain 113: 1645–1672

    Article  PubMed  Google Scholar 

  • Deuschl G, Toro C, Valls SJ, Zeffiro T, Zee DS, Hallett M (1994) Symptomatic and essential palatal tremor. 1. Clinical, physiological and MRI analysis. Brain 117: 775–788

    Article  PubMed  Google Scholar 

  • Deuschl G, Krack P, Lauk M, Timmer J (1996) Clinical electrophysiology of tremor. J Clin Neurophysiol 13: 110–122

    Article  PubMed  CAS  Google Scholar 

  • Deuschl G, Bain P, Brin M (1998) Tremor: Consensus-statement of the Movement Disorder Society. Mov Disord 13 (Suppl) 3: 2–23

    Google Scholar 

  • Findley LJ, Koller WC (1995) Handbook of tremor disorders. Marcel Dekker, New York

    Google Scholar 

  • Holmes G (1904) On certain tremors in organic cerebral lesions. Brain 27: 327–375

    Article  Google Scholar 

  • Ikeda A, Kakigi R, Funai N, Neshige R, Kuroda Y, Shibasaki H (1990) Cortical tremor: a variant of cortical reflex myoclonus. Neurology 40: 1561–1565

    Article  PubMed  CAS  Google Scholar 

  • Jankovic J, Van der Linden C (1988) Dystonia and tremor induced by peripheral trauma: predisposing factors. J Neurol Neurosurg Psychiatry 51: 1512–1519

    Article  PubMed  CAS  Google Scholar 

  • Koller WC, Busenbark K, Miner K (1994) The relationship of essential tremor to other movement disorders: report on 678 patients. Essential Tremor Study Group. Ann Neurol 35: 717–723

    Article  CAS  Google Scholar 

  • Krack P, Deuschl G (1998) Tremor. In: Hopf H, Diener GD H C, Reichmann H (eds) Handbuch der Neurologie. Thieme, Stuttgart

    Google Scholar 

  • Miwa H, Hatori K, Kondo T, Imai H, Mizuno Y (1996) Thalamic tremor: case reports and implications of the tremor-generating mechanism. Neurology 46: 75–79

    Article  PubMed  CAS  Google Scholar 

  • Rivest J, Marsden CD (1990) Trunk and head tremor as isolated manifestations of dystonia. Mov Disord 5: 60–65

    Article  PubMed  CAS  Google Scholar 

  • Rosenbaum F, Jankovic J (1988) Focal task-specific tremor and dystonia: categorization of occupational movement disorders. Neurology 38: 522–527

    Article  PubMed  CAS  Google Scholar 

  • Shibasaki H (1995) Myoclonus. Curr Opin Neurol 8: 331–334

    Article  PubMed  CAS  Google Scholar 

  • Silfverskiöld BP (1986) Rhythmic myoclonias including spinal myoclonus. In: Fahn S, Marsden CD, Van Woert M (eds) Advances in neurology. Raven Press, New York, pp 275–285

    Google Scholar 

  • Spieker S, Jentgens C, Boose A, Dichgans J (1995) Reliability, specificity and sensitivity of long-term tremor recordings. Electroencephalogr Clin Neurophysiol 97: 326–331

    Article  PubMed  CAS  Google Scholar 

  • Thomas JE, Reagan TJ, Klass DW (1977) Epilepsia partialis continua. Arch Neurol 34: 266–275

    Article  PubMed  CAS  Google Scholar 

  • Young RR, Shahani BT (1986) Asterixis: one type of negative myoclonus. In: Fahn S, Marsden CD, Van Woert M (eds), Myoclonus. Raven Press, New York, pp 137–156

    Google Scholar 

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© 1999 Springer-Verlag Wien

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Deuschl, G. (1999). Differential diagnosis of tremor. In: Przuntek, H., Müller, T. (eds) Diagnosis and Treatment of Parkinson’s Disease — State of the Art. Journal of Neural Transmission. Supplementa, vol 56. Springer, Vienna. https://doi.org/10.1007/978-3-7091-6360-3_14

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  • DOI: https://doi.org/10.1007/978-3-7091-6360-3_14

  • Publisher Name: Springer, Vienna

  • Print ISBN: 978-3-211-83275-2

  • Online ISBN: 978-3-7091-6360-3

  • eBook Packages: Springer Book Archive

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