Tremor

Postural Tremor

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Postural Tremor

  • See Also
  1. Action Tremor
  2. Essential Tremor
  3. Drug Induced Tremor
  1. Patient attempts to maintain Posture against gravity
  2. Example: Tremor holding arms out in front of body
  3. Moderate to high frequency: 5-9 Hz
  4. Low amplitude
  • Causes
  1. Physiologic Tremor
  2. Essential Tremor
  3. Alcohol Withdrawal
  4. Drug Withdrawal
  5. Metabolic Causes of Tremor (e.g. Thyrotoxicosis)
  6. Drug Induced Tremor
  7. Psychogenic Tremor
  8. Cerebellar Tremor
  • Labs
  1. Thyroid Stimulating Hormone (TSH)
  2. Consider Head imaging
  • Management
  1. See Essential Tremor
  2. Beta Blockers (e.g. Propranolol)
  3. Primidone (Mysoline)
  4. Acetazolamide (Diamox)
  5. Clonazepam (Klonopin)
  6. Botulinum Toxin
  7. Gabapentin (Neurontin)
  8. Deep stimulation
  9. Thalamotomy
  • References
  1. Hopfner (2020) Neurotherapeutics 17(4):1603-21 +PMID: 32915385 [PubMed]