Tremor differential diagnosis: Difference between revisions

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As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].
As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].


===Differentiating [disease name] from other diseases on the basis of [symptom 1], [symptom 2], and [symptom 3]===
===Differentiating the cause of tremor from other diseases on the basis of the type of tremor, associated signs and symptoms===


On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6]<ref name="pmid19750493">{{cite journal| author=Deuschl G, Elble R| title=Essential tremor--neurodegenerative or nondegenerative disease towards a working definition of ET. | journal=Mov Disord | year= 2009 | volume= 24 | issue= 14 | pages= 2033-41 | pmid=19750493 | doi=10.1002/mds.22755 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19750493  }} </ref>.
On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6]<ref name="pmid19750493">{{cite journal| author=Deuschl G, Elble R| title=Essential tremor--neurodegenerative or nondegenerative disease towards a working definition of ET. | journal=Mov Disord | year= 2009 | volume= 24 | issue= 14 | pages= 2033-41 | pmid=19750493 | doi=10.1002/mds.22755 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19750493  }} </ref>.
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| '''Common Cause of Tremor''' ||  '''Differentiating Feature of Tremor''' || '''Main Feature of Disease'''
| '''Common Cause of Tremor''' ||  '''Differentiating Feature of Tremor''' || '''Main Feature of Disease'''
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  |-
  | [[Essential tremor]] || Postural Tremor - [Frequency]] 4–12 Hz, Bilateral onset || [[gait]] [[ataxia]], [[vestibulocerebellar]] involvement, reduced by [[alcohol]], [[family history]], [[stress]]/[[fatigue]] can increase tremor [[amplitude]]
  | [[Essential tremor]] <ref name="pmid19750493">{{cite journal| author=Deuschl G, Elble R| title=Essential tremor--neurodegenerative or nondegenerative disease towards a working definition of ET. | journal=Mov Disord | year= 2009 | volume= 24 | issue= 14 | pages= 2033-41 | pmid=19750493 | doi=10.1002/mds.22755 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=19750493  }} </ref>.
{| class="wikitable"|| Postural Tremor - [Frequency]] 4–12 Hz, Bilateral onset || [[gait]] [[ataxia]], [[vestibulocerebellar]] involvement, reduced by [[alcohol]], [[family history]], [[stress]]/[[fatigue]] can increase tremor [[amplitude]]
  |-
  |-
  | [[Parkinson’s disease]] || [[Resting Tremor]] - Unilateral onset || [[Bradykinesia]], [[micrographia]], [[stooped posture]], [[ataxia]], [[rigidity]], [[imbalance]], [[depression]], [[apathy]]
  | [[Parkinson’s disease]] || [[Resting Tremor]] - Unilateral onset || [[Bradykinesia]], [[micrographia]], [[stooped posture]], [[ataxia]], [[rigidity]], [[imbalance]], [[depression]], [[apathy]]

Revision as of 04:02, 25 January 2021

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Zehra Malik, M.B.B.S[2]

Overview

Tremor must be differentiated from other diseases that cause myoclonus, clonus, asterixis, and epilepsia partialis continua.

OR

[Disease name] must be differentiated from [[differential dx1], [differential dx2], and [differential dx3].

Differentiating [Disease name] from other Diseases

[Disease name] must be differentiated from other diseases that cause [clinical feature 1], [clinical feature 2], and [clinical feature 3], such as [differential dx1], [differential dx2], and [differential dx3].

OR

[Disease name] must be differentiated from [differential dx1], [differential dx2], and [differential dx3].

OR

As [disease name] manifests in a variety of clinical forms, differentiation must be established in accordance with the particular subtype. [Subtype name 1] must be differentiated from other diseases that cause [clinical feature 1], such as [differential dx1] and [differential dx2]. In contrast, [subtype name 2] must be differentiated from other diseases that cause [clinical feature 2], such as [differential dx3] and [differential dx4].

Differentiating the cause of tremor from other diseases on the basis of the type of tremor, associated signs and symptoms

On the basis [symptom 1], [symptom 2], and [symptom 3], [disease name] must be differentiated from [disease 1], [disease 2], [disease 3], [disease 4], [disease 5], and [disease 6][1].

Common Cause of Tremor Differentiating Feature of Tremor Main Feature of Disease
Essential tremor [1].
Parkinson’s disease Resting Tremor - Unilateral onset Bradykinesia, micrographia, stooped posture, ataxia, rigidity, imbalance, depression, apathy
Physiologic Tremor Postural tremor - High frequency, low amplitude
Cerebellar Tremor Intention tremor - Low frequency <4 Hz Occurs in multiple sclerosis, stroke, brainstem tumor, or cerebellar trauma. May feature ataxia, dysmetria, dysdiadochokinesia, and dysarthria.
Drug Induced Tremor Can enhance rest, action, postural tremors Amiodarone, bronchodilators, lithium, metoclopramide, neuroleptics, theophylline, valproate
Orthostatic Tremor Essential tremor variant, high frequency 14 Hz-18 Hz Occurs in the legs on standing and is relieved by sitting down

References

  1. 1.0 1.1 Deuschl G, Elble R (2009). "Essential tremor--neurodegenerative or nondegenerative disease towards a working definition of ET". Mov Disord. 24 (14): 2033–41. doi:10.1002/mds.22755. PMID 19750493.

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