Essential tremor

Question 1

Essential tremor is the most common….

Answer 1

movement d/o

Question 2

What is the familial pattern?

Answer 2

Autosomal dominant

Question 3

What are RFs?

Answer 3

Age & genetics

Question 4

What is the pathophys?

Answer 4

Alternating or synchronous contractions of antagonistic muscles

Question 5

What temporarily relieves essential tremor?

Answer 5

Alcohol

Question 6

How do pts present?

Answer 6

Bilateral tremor of hands & forearms, or head tremor

Question 7

What labs do you use for dx?

Answer 7

• Thyroid fxn
• Chemistry
• Liver enzymes
• Heavy metal

Question 8

What imaging do you use for dx? When would you use this?

Answer 8

MRI brain (if suspect structural cause - Wilson’s, trauma, stroke)

Question 9

What is the first line tx?

Answer 9

Beta blockers - Propanolol 60-320mg/day