Tremor

Orthostatic Tremor

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Orthostatic Tremor

  • Pathophysiology
  1. Postural Tremor of the legs
  2. Frequency: 13-18 Hz
  • Symptoms
  1. Unsteadiness
  2. Feelings of imbalance or weakness
  3. Trembling and shaking in lower limbs
  • Signs and symptoms
  1. Tremor Initiated on standing
  2. Tremor relieved by walking or sitting
  3. Noticeable when palpating legs
  4. Not influenced by peripheral feedback
  • Management
  1. Clonazepam (Klonopin) 0.5-2.0 mg/day
  2. Valproic Acid