ISSN: 2161-0460

Journal of Alzheimers Disease & Parkinsonism
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  • Review Article   
  • J Alzheimers Dis Parkinsonism 2017, Vol 7(5): 386
  • DOI: 10.4172/2161-0460.1000386

A Review of Clinical Approach to a Patient with Tremor Disorder

Bhupendra Shah*, Shantanu Mall, Roshan Chhetri, Bhuwaneshor Yadav, Piyush Dahal and Manish Subedi
Koirala Institute of Health Sciences, , Nepal
*Corresponding Author : Bhupendra Shah, Koirala Institute of Health Sciences, Nepal, Tel: +9779842560220, Email: doctorbhupen@gmail.com

Received Date: Oct 02, 2017 / Accepted Date: Oct 09, 2017 / Published Date: Oct 16, 2017

Abstract

Tremor disorder is the most common movement disorder encountered in neurology and general practitioner’s clinic. The misdiagnosis of a tremor syndrome is prevalent, leading to erroneous reporting and treatment of this condition. This is our endeavor to give a simplified approach to outline Tremor disorders by reviewing the published literature on it. We searched Electronic databases MEDLINE/PubMed, Google Scholar, Cochrane library and ScopeMed with Mesh (Medical Subject Headings) terms “Tremor”, “Clinical features”, “Pathophysiology” and “treatment” from earliest possible date. Articles in any language especially those published in recent years were given preference. Tremor is classified into rest tremor and action tremor based on its presence on a different position of body parts. Action tremor is further categorized into postural, kinetic and intentional tremor. Resting tremor is classically seen in Parkinson’s disease. Essential tremor is the most common cause of postural tremor. Electromyography and accelerometer though helpful are complex tools to diagnose the tremor disorder. Tremor disorders should be approached systematically. We should proceed from the classification of tremor based on its presence in a different position of body parts. We need to corroborate clinical history, examination findings, and appropriate investigation report to reach the final etiological diagnosis of the tremor disorder.

Keywords: Tremor; Clinical features; Approach; Rest tremor; Action tremor

Citation: Shah B, Mall S, Chhetri R, Yadav B, Dahal P, et al. (2017) A Review of Clinical Approach to a Patient with Tremor Disorder. J Alzheimers Dis Parkinsonism 7: 386. Doi: 10.4172/2161-0460.1000386

Copyright: © 2017 Shah B, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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