Neurology - benign essential tremor Flashcards
1
Q
What is a benign essential tremor?
A
Fine tremor affecting all the voluntary muscles
Associated with increasing age
Most notable in the hands but affects many other areas e.g. head, jaw and vocal tremor
2
Q
Features of benign essential tremor
A
Fine tremor
Symmetrical
More prominent on voluntary movement
Worse when tired, stressed or after caffeine
Improved by alcohol
Absent during sleep
3
Q
Differential diagnosis of tremor
A
Parkinson’s disease Multiple sclerosis Huntington’s Chorea Hyperthyroidism Fever Medications (e.g. antipsychotics)
4
Q
Management
A
No definitive management
Doesn’t require treatment if not causing functional or psychological problems
Medications that can be tried to improve symptoms are:
- Propranolol (a non-selective beta blocker)
- Primidone (a barbiturate anti-epileptic medication)
