Home

Loading...

Table of contents

Essential tremor

Guidelines

Key sources

The following summarized guidelines for the evaluation and management of essential tremor are prepared by our editorial team based on guidelines from the International Parkinson and Movement Disorder Society (IPMDS 2019), the American Academy of Family Physicians (AAFP 2018), and the American Academy of Neurology (AAN 2011,2005). ...
Show more

Diagnostic investigations

History and physical examination: as per AAFP 2018 guidelines, elicit history and perform a physical examination for the diagnosis of tremor.
B
Show 3 more
Create free account

More topics in this section

  • SPECT

Medical management

Pharmacotherapy: as per IPMDS 2019 guidelines, recognize that propranolol and topiramate (> 200 mg/day) are efficacious with acceptable risk and without specialized monitoring in patients with upper limb ET.
B
Show 2 more

More topics in this section

  • Agents with no evidence for benefit

Therapeutic procedures

Botulinum toxin injections: as per IPMDS 2019 guidelines, recognize that botulinum toxin A is likely efficacious with acceptable risk and with specialized monitoring in patients with upper limb ET.
B

More topics in this section

  • Deep brain stimulation

Surgical interventions

Thalamotomy
As per IPMDS 2019 guidelines:
Recognize that unilateral radiofrequency thalamotomy is likely efficacious with acceptable risk and with specialized monitoring in patients with upper limb ET.
B
Recognize that unilateral MRI-guided focused ultrasound thalamotomy is likely efficacious with acceptable risk and with specialized monitoring in patients with upper limb ET.
B