title: Tongue tremor: a rare initial presentation of essential tremor.
abstract: Tongue tremor is commonly associated with essential tremor, but rarely presents as an initial finding. Essential tremor is the most common movement disorder and is characterised by 4-12 Hz postural and kinetic tremor, but there is no universally accepted diagnostic criterion. It commonly affects the arms, and to a lesser extent, other regions of the body, and signs and symptoms tend to worsen during emotional or physiological stress. We describe a rare isolated presentation of tongue tremor as a part of essential tremor, its management, and the diagnostic dilemma. To our knowledge isolated tongue tremor as a presentation of essential tremor has not previously been described in maxillofacial publications.
authors.affiliation: Department of Oral and Maxillofacial Surgery, St Richards Hospital, Chichester, West Sussex, United Kingdom. atulkusanale@gmail.com
authors.forename: Atul
authors.initials: A
authors.lastname: Kusanale
authors.forename: Alan
authors.initials: A
authors.lastname: Wilson
authors.forename: Peter
authors.initials: P
authors.lastname: Brennan
mesh_terms: D000319:Adrenergic beta-Antagonists / Q000627:therapeutic use; D020329:Essential Tremor / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D006801:Humans; D011433:Propranolol / Q000627:therapeutic use; D014060:Tongue Diseases / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000319:Adrenergic beta-Antagonists; D011433:Propranolol