Essential Tremor

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Clinical Description

Nervous system disorder that causes involuntary rhythmic shaking. Often affects hands though may also affect head, arms, legs and voice. Can be triggered by stress, fatigue, caffeine and temperature extremes.

 

Treatment

General Measures

• Exclude and manage alternate causes, such as drugs, thyrotoxicosis, hyperadrenergic states and psychiatric disorders.
• Occasionally a patient may present with essential tremor and an additional neurological condition, which may make the diagnosis difficult.

If tremor is severe and interfering with normal daily activities: Give beta-blocker, e.g.:

• Propranolol, oral, 60-320mg q24h in divided doses.