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resting tremor

Etiology: - parkinsonism - Parkinson's disease - drug-induced tremor* - vascular parkinsonism - dystonia [2] * most drug-induced tremors are action tremors Clinical manifestations: 1) most evident at rest 2) attenuated or absent during voluntary actions 3) tremor of parkinsonism a) alternating supination & pronation (pin rolling) b) may be asymmetric c) extremities generally affected d) head & neck generally spared Management: 1) discontinue or decrease dose of offending medications 2) Parkinson's disease: standard treatment protocol

Related

parkinsonism

Specific

dystonic tremor rubral tremor

General

tremor

References

  1. Saunders Manual of Medical Practice, Rakel (ed), WB Saunders, Philadelphia, 1996, pg 1015-16
  2. Medical Knowledge Self Assessment Program (MKSAP) 17, American College of Physicians, Philadelphia 2015