Neuropathic Tremor

  • Roongroj Bhidayasiri
  • Daniel Tarsy
Part of the Current Clinical Neurology book series (CCNEU)


Neuropathic tremor is assumed to be present if a patient develops tremor together with a peripheral neuropathy in the absence of any other neurological disorder. Certain peripheral neuropathies tend to produce tremor more often than others, particularly demyelinating polyneuropathies. These tremors are usually postural and kinetic with frequencies of 3–6 Hz in arm and hand muscles. The frequency in hand muscles can be lower than in proximal arm muscles in patients with gammopathies. Fortunately, most of these patients have only a slight tremor. No specific drugs are available for this disorder, but in most cases, it is not severe enough to require pharmacological treatment.


Peripheral Neuropathy Nerve Conduction Velocity Hand Muscle Afferent Signal Cervical Radiculopathy 
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Supplementary material

Neuropathic tremor.mp4 (MP4 9,469KB)

The patient has a left wrist drop. There is weakness of the intrinsic hand muscles bilaterally. No resting tremor is present, but bilateral distal postural and action tremor is present which is greater on the right than left side.


  1. 1.
    Bain PG, Britton TC, Jenkins IH, et al. Tremor associated with benign IgM paraproteinemic neuropathy. Brain. 1996;119:789–99.PubMedCrossRefGoogle Scholar
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    Deuschl G, Bergman H. Pathophysiology of nonparkinsonian tremors. Mov Disord. 2002;17 Suppl 3:S41–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2012

Authors and Affiliations

  • Roongroj Bhidayasiri
    • 1
    • 2
  • Daniel Tarsy
    • 3
  1. 1.Chulalongkorn Center of Excellence on Parkinson’s Disease and Related DisordersChulalongkorn University HospitalBangkokThailand
  2. 2.Department of NeurologyDavid Geffen School of Medicine at UCLALos AngelesUSA
  3. 3.Department of NeurologyHarvard Medical School Beth Israel Deaconess Medical CenterBostonUSA

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