Essential tremor: diagnosis and treatment.
Essential tremor is a common movement disorder in adults that interferes with the performance of functional and social activities. Differentiation of essential tremor from other tremor syndromes is important in order to provide appropriate patient education and therapy. The mainstays of pharmacotherapy are propranolol and primidone; however, in selected patients, agents such as alcohol, benzodiazepines, botulinum toxin, and gabapentin may provide symptomatic benefits. Advances in surgical interventions, such as stereotactic thalamotomy and thalamic deep brain stimulation, offer patients an alternative treatment modality when pharmacotherapy is inadequate. A treatment algorithm is provided to guide clinicians in the management of patients with essential tremor.
Chen
Jack J
JJ
Department of Pharmacy Practice, College of Pharmacy, Western University of Health Sciences, Pomona, California 91766-1854, USA. jchen@westernu.edu
Swope
David M
DM
D000085:Acetates / Q000627:therapeutic use; D000588:Amines; D003509:Cyclohexanecarboxylic Acids; D003937:Diagnosis, Differential; D020329:Essential Tremor / Q000145:classification / Q000175:diagnosis* / Q000628:therapy*; D000077206:Gabapentin; D006801:Humans; D010300:Parkinson Disease / Q000175:diagnosis / Q000188:drug therapy; D011324:Primidone / Q000627:therapeutic use; D011433:Propranolol / Q000627:therapeutic use; D005680:gamma-Aminobutyric Acid
D000085:Acetates; D000588:Amines; D003509:Cyclohexanecarboxylic Acids; D011324:Primidone; D005680:gamma-Aminobutyric Acid; D000077206:Gabapentin; D011433:Propranolol