tremor

Question 1

features of essential tremor (3)

Answer 1

• only symptom is 4-12 Hz tremor
• improves after alcohol
• family history of essential tremor

Question 2

dx criteria for parkinson’s

Answer 2

bradykinesia + any of

• muscular rigidity
• 4-6Hz rest tremor
• postural instability for no reason (ie no visual / vestibular / cerebellar / proprioceptive defects)

Question 3

medication management of essential tremor

Answer 3

mild - do nothing

troublesome - propranolol 10mg PO BD up to 80mg BD