The purpose of this review is to explain a practical clinical approach to the diagnosis and management of tremor.
A number of rare but important causes of tremor have been delineated, which means that attention to detail in clinical assessment of patients with tremor is even more important.
Tremors are best divided into those occurring mainly at rest, mainly on posture, and mainly during action. This basic division leads directly to differential diagnosis and effective treatment.
Address correspondence to Dr Mark J. Edwards, Sobell Department of Motor Neuroscience and Movement Disorders, UCL Institute of Neurology, Queen Square, London WC1N 3BG, firstname.lastname@example.org.
Relationship Disclosure: Dr Edwards has served as a speaker for the Movement Disorders Society and UCB and receives research support from The Dystonia Society UK and Parkinson’s UK. Dr Deuschl serves as a consultant for Medtronic, Inc, Novartis, and Teva Pharmaceutical Industries Ltd and receives royalties from Thieme. Dr Deuschl’s employer receives research support from Medtronic, Inc.
Unlabeled Use of Products/Investigational Use Disclosure: Dr Edwards reports no disclosure. Dr Deuschl discusses the use of currently recommended drugs for the treatment of tremors, of which only some are approved by the US Food and Drug Administration as antitremor agents.