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[Diagnosis and treatment of tremor in Parkinson's disease and essential tremor].
MMW Fortschr Med. 2007 May 21; 149 Suppl 2:94-6.MF

Abstract

For patients presenting predominantly or purely with tremor, the correct diagnosis of tremor-dominant Parkinson's disease (PD) versus essential tremor (ET) is very important for prognosis and effective therapy. ET tremor is usually characterized by symmetric bilateral postural and kinetic tremor, which may respond to low alcohol consumption. Many patients have a family history of ET tremors. Medical treatment with primidone or beta-blockers effectively controls ET tremor, but in many cases no treatment is needed at all. The typical tremor form of PD is an asymmetric rest tremor, which is treated with dopaminergic agents such as levodopa. Differential diagnosis of ET and PD may be difficult in a subset of PD patients who present with additional postural and kinetic tremor and in a minority of ET patients who show a clear asymmetry of their postural and kinetic tremor. In some patients with ET, the tremor can later become severe and even require treatment with deep brain stimulation.

Authors+Show Affiliations

Klinik und Poliklinik für Neurologie, Universität Rostock. alexander.wolters@med.uni-rostock.deNo affiliation info available

Pub Type(s)

Comparative Study
English Abstract
Journal Article
Review

Language

ger

PubMed ID

17724978

Citation

Wolters, Alexander, and Reiner Benecke. "[Diagnosis and Treatment of Tremor in Parkinson's Disease and Essential Tremor]." MMW Fortschritte Der Medizin, vol. 149 Suppl 2, 2007, pp. 94-6.
Wolters A, Benecke R. [Diagnosis and treatment of tremor in Parkinson's disease and essential tremor]. MMW Fortschr Med. 2007;149 Suppl 2:94-6.
Wolters, A., & Benecke, R. (2007). [Diagnosis and treatment of tremor in Parkinson's disease and essential tremor]. MMW Fortschritte Der Medizin, 149 Suppl 2, 94-6.
Wolters A, Benecke R. [Diagnosis and Treatment of Tremor in Parkinson's Disease and Essential Tremor]. MMW Fortschr Med. 2007 May 21;149 Suppl 2:94-6. PubMed PMID: 17724978.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Diagnosis and treatment of tremor in Parkinson's disease and essential tremor]. AU - Wolters,Alexander, AU - Benecke,Reiner, PY - 2007/8/30/pubmed PY - 2007/9/28/medline PY - 2007/8/30/entrez SP - 94 EP - 6 JF - MMW Fortschritte der Medizin JO - MMW Fortschr Med VL - 149 Suppl 2 N2 - For patients presenting predominantly or purely with tremor, the correct diagnosis of tremor-dominant Parkinson's disease (PD) versus essential tremor (ET) is very important for prognosis and effective therapy. ET tremor is usually characterized by symmetric bilateral postural and kinetic tremor, which may respond to low alcohol consumption. Many patients have a family history of ET tremors. Medical treatment with primidone or beta-blockers effectively controls ET tremor, but in many cases no treatment is needed at all. The typical tremor form of PD is an asymmetric rest tremor, which is treated with dopaminergic agents such as levodopa. Differential diagnosis of ET and PD may be difficult in a subset of PD patients who present with additional postural and kinetic tremor and in a minority of ET patients who show a clear asymmetry of their postural and kinetic tremor. In some patients with ET, the tremor can later become severe and even require treatment with deep brain stimulation. SN - 1438-3276 UR - https://www.unboundmedicine.com/medline/citation/17724978/[Diagnosis_and_treatment_of_tremor_in_Parkinson's_disease_and_essential_tremor]_ L2 - http://www.diseaseinfosearch.org/result/793 DB - PRIME DP - Unbound Medicine ER -