Tremor: Clinical Phenomenology and Assessment Techniques

Tremor and Other Hyperkinetic Movements

article

Christopher W. Hess¹  Seth L. Pullman¹ 

[1] Clinical Motor Physiology Laboratory, Department of Neurology, Columbia University Medical Center

关键词: Tremor;    Parkinson disease;    essential tremor;    dystonia;    orthostatic tremor;    motor physiology;   

DOI  :  10.5334/tohm.115

学科分类：社会科学、人文和艺术（综合）

来源: Ubiquity Press

【 摘 要 】

Background: Tremors are among the most common movement disorders. As there can be considerable variability in the manner in which clinicians assess tremor, objective quantitative tools such as electromyography, accelerometry, and computerized, spiral analysis can be very useful in establishing a clinical diagnosis and in research settings. Methods: In this review, we discuss the various methods of quantitative tremor analysis and the classification and pathogenesis of tremor. The most common pathologic tremors and an approach to the diagnosis of tremor etiology are described. Conclusions: Pathologic tremors are common, and the diagnosis of underlying etiology is not always straightforward. Computerized quantitative tremor analysis is a valuable adjunct to careful clinical evaluation in distinguishing tremulous diseases from physiologic tremors, and can also help shed light on their pathogenesis.

【 授权许可】

CC BY