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Essential tremor: diagnosis and treatment.
1Department of Pharmacy Practice, College of Pharmacy, Western University of Health Sciences, Pomona, California 91766-1854, USA. jchen@westernu.edu
Pharmacotherapy
|October 4, 2003
Summary
Essential tremor is a common neurological disorder affecting adults. This review details its differentiation from other tremors and outlines current pharmacotherapy and surgical treatment options.
Area of Science:
- Neurology
- Movement Disorders
Background:
- Essential tremor is a prevalent adult movement disorder impacting daily function and social interaction.
- Accurate differentiation from other tremor syndromes is crucial for effective patient management.
Purpose of the Study:
- To provide a comprehensive overview of essential tremor diagnosis and management.
- To present a treatment algorithm for guiding clinical decisions.
Main Methods:
- Review of current pharmacotherapies including propranolol and primidone.
- Exploration of alternative agents like benzodiazepines and botulinum toxin.
- Discussion of surgical interventions such as stereotactic thalamotomy and deep brain stimulation.
Main Results:
- Established pharmacotherapies offer symptomatic relief for many patients.
- Alternative medical and surgical options exist for refractory cases.
- A structured treatment algorithm can aid clinicians in patient management.
Conclusions:
- Effective management of essential tremor involves accurate diagnosis and tailored therapeutic strategies.
- Pharmacotherapy and surgical options provide a spectrum of treatments for essential tremor.
- The provided algorithm aims to optimize clinical care for essential tremor patients.