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Clinical approach to tremor in children

D Torres-Russotto1

  • 1Department of Neurological Sciences, University of Nebraska Medical Center, Omaha, NE, 68198, United States.

Parkinsonism & Related Disorders
|April 7, 2019
PubMed

Insights

Pediatric tremors, a complex area of movement disorders, are challenging to diagnose. This review offers a practical guide to identifying and classifying tremors in children for better treatment.

Area of Science:

  • Neurology
  • Pediatrics
  • Movement Disorders

Background:

  • Pediatric movement disorders are complex, with tremor being understudied.
  • Diagnosing pediatric tremors is challenging due to associated movement disorders and differentiating from other shaking conditions.

Purpose of the Study:

  • To provide a succinct, clinically useful, and practical review of pediatric tremors.
  • To aid in the correct identification of tremors for appropriate treatment.

Main Methods:

  • Classification of tremors based on predominance during rest or activity.
  • Development of a clinical algorithm for bedside assessment of pediatric tremors.
  • Review of common tremor etiologies.

Main Results:

  • Action tremors are the most common type in children.
  • The paper presents a practical bedside assessment algorithm and useful tables.
  • Common causes of pediatric tremors are discussed.

Conclusions:

  • Accurate identification of pediatric tremors is crucial for effective management and potential cures.
  • This review serves as a practical resource for clinicians evaluating tremors in children.

Keywords:
AtaxiaChildrenDystonic tremorEssential tremorPediatric tremorTremor

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