Essential tremor (ET): differential diagnosis

Written and reviewed by Dr Ibrahim Imam, Consultant Neurologist. Last reviewed .

Essential tremor (ET): differential diagnosis. Enhanced physiologic tremor, Primary orthostatic tremor. Fully referenced neurology checklist.

Other tremors

  • Enhanced physiologic tremor
  • Primary orthostatic tremor
  • Task-specific tremors
  • Dystonic tremor
  • Parkinson's disease (PD) tremor
  • Cerebellar tremor
  • Holmes’ tremor
  • Palatal tremor
  • Valproate-induced tremor
  • Other drug and toxin-induced tremors
  • Neuropathic tremor
  • Psychogenic tremor
  • See also neurochecklists: “Tremors: medical causes” and “Tremors: drug-induced”

Other movement disorders

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Red flags against essential tremor diagnosis

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References

  1. Deuschl G, Bain P, Brin M, et al. Consensus statement of the Movement Disorder Society on Tremor Ad Hoc Scientific Committee. Mov Disord 1998; 13(Suppl 3):2-23.
  2. Paparella G, Angelini L, De Biase A, et al. Clinical and kinematic features of valproate-induced tremor and differences with essential tremor. Cerebellum 2021; 20:374-383. 
  3. Bain P, Brin M, Deuschl G, et al. Criteria for the diagnosis of essential tremor. Neurology 2000; 54(Suppl 4):S7.
  4. Knudsen K, Lorenz D, Deuschl G. A clinical test for the alcohol sensitivity of essential tremor. Mov Disord 2011; 26:2291-2295.
  5. Nahab FB, Peckham E, Hallett M. Essential tremor, deceptively simple...Pract Neurol 2007; 7:222-233.

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