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Tremors: Essential Tremor and Beyond

Chandrabhaga Miskin1, Karen S Carvalho2

  • 1Division of Pediatric Neurology, Saint Peter's University Hospital, New Brunswick, NJ.

Seminars in Pediatric Neurology
|May 9, 2018
PubMed

Insights

Pediatric tremor, a common movement disorder, requires careful evaluation of its characteristics, associated symptoms, and medication effects for accurate diagnosis and management. Effective pharmacologic treatments for tremor remain challenging, necessitating a comprehensive approach.

Area of Science:

  • Pediatric Neurology
  • Movement Disorders

Background:

  • Tremor is a frequent presenting complaint in pediatric neurology.
  • Tremors can stem from primary causes or secondary to systemic/neurologic conditions.

Purpose of the Study:

  • To review the clinical examination, classification, and diagnosis of pediatric tremor.
  • To outline the pathophysiology and discuss treatment options for various tremor forms.

Main Methods:

  • Review of clinical examination techniques for tremor assessment.
  • Classification systems for pediatric tremors.
  • Discussion of diagnostic criteria and differential diagnoses.
  • Overview of pathophysiologic mechanisms.
  • Evaluation of current pharmacologic and non-pharmacologic treatment strategies.

Main Results:

  • Accurate classification is crucial for diagnosis and management.
  • Phenomenology, associated neurologic signs, and medication influences are key assessment components.
  • Objective assessment of tremor severity and functional impairment guides treatment decisions.

Conclusions:

  • Effective pharmacologic treatment for pediatric tremor is often disappointing.
  • A thorough clinical evaluation, precise classification, and consideration of functional impact are essential for optimal patient care.
  • Further research into more effective therapeutic interventions is warranted.

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