Essential Tremor

被引:16
作者
Reich, Stephen G. [1 ]
机构
[1] Univ Maryland, Dept Neurol, Sch Med, 110 South Paca St,3rd Floor, Baltimore, MD 21201 USA
关键词
Tremor; Essential tremor; Parkinson's disease; Parkinsonism; Deep brain stimulation; Focused ultrasound; FOCUSED ULTRASOUND THALAMOTOMY; QUALITY STANDARDS SUBCOMMITTEE; AMERICAN-ACADEMY; PARKINSON; UPDATE; TRIAL;
D O I
10.1016/j.mcna.2018.10.016
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Essential tremor is one of the most common movement disorders. It is characterized by a bilateral action tremor of the upper limbs. It may be accompanied by tremor of the head, voice, or lower limbs. Essential tremor is often present for years or decades before presentation and it progresses insidiously. It is often familial and transiently responsive to alcohol. For patients requiring treatment, the two first-line medications are propranolol and primidone, which are synergistic. Patients with disabling essential tremor that cannot be managed medically are candidates for either deep brain stimulation or focused ultrasound.
引用
收藏
页码:351 / +
页数:7
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