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 Movement Disorders (e.g., Parkinson's Disease)

Tremor

Tremor


Definition:

Tremors are a type of involuntary shaking movement.

Causes, incidence, and risk factors:

Tremors are caused by problems with the nerves supplying certain muscles. They may affect the whole body or just certain areas, as with hand tremor).

Disorders with tremor as the primary symptom include:

  • Familial tremor (runs in families)
  • Essential tremor (no known cause)
  • Drug-induced tremor (drugs known to induce tremor include valproic acid, lithium, and cyclosporine)
Parkinson's disease and other illnesses may cause tremors in addition to other symptoms. Certain medical problems such as hyperthyroidism or Wilson's disease may cause tremors.
Symptoms:
  • Tremors
    • May be occasional (sporadic), temporary (episodic) or occurring at intervals (intermittent)
    • May affect the head, hands, arms, eyelids, or other muscles
    • May not affect both sides of the body equally
  • A shaking or quivering sound to voice
  • Head nodding
  • Tremors that worsen with voluntary movement or emotional stress
  • Tremors that disappear during sleep
Signs and tests:

Tests depend on the suspected cause of the tremor. However, a neurologic examination should be conducted in most cases.


Review Date: 8/26/2006
Reviewed By: Gail A. Kang, M.D., San Francisco VA Parkinson's Disease Research, Education, & Clinical Center, San Francisco, CA. Review provided by VeriMed Healthcare Network.

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