61. BCM-Neurology-Parkinson's Disease Center And Movement Disorders-Essential Tremor International essential tremor Foundation (IETF) Table 1. DIFFERENTIAL DIAGNOSIS OF PARKINSON S AND essential tremor http://www.bcm.edu/neurology/struct/parkinson/tremor.html

Print This Page Close Window Essential Tremor Joseph Jankovic, M.D. A diagnostic marker for ET would also help to resolve the question whether site-, position- and task-specific tremors, such as primary handwriting tremor and orthostatic tremor, are distinct entities or whether these tremors represent clinical variants of ET [Rosenbaum and Jankovic, 1988; FitzGerald and Jankovic, 1991; Sander et al, 1998]. Treatment Propranolol (Inderal), a beta-adrenergic blocker, remains the most effective drug for the treatment of ET and enhanced physiologic tremors, but other beta blockers may also ameliorate postural tremor [Koller et al, 2000] [Table 2]. Propranolol is less effective in head than hand tremor. The major side effects of propranolol, and to a lesser degree of other beta blockers, include fatiguability, sedation, depression and sexual impotence. These drugs are contraindicated in the presence of CHF, COPD, asthma and insulin-dependent diabetes. Other treatment modalities for postural tremors include injections of botulinum toxin (BTX) into muscles involved in the production of the oscillatory movement and various surgical approaches. In our initial trial of BTX treatment, 67% of 51 patients with various disabling tremors noted at least some improvement [Jankovic and Schwartz, 1991]. A subsequent double-blind, placebo-controlled trial confirmed that BTX is a safe and effective treatment of hand, and particularly head, tremor [Jankovic et al, 1996].

62. Common Drugs Can Calm Essential Tremor, New Guidelines Imagine not being able to hold a glass, tie your shoelaces or write a check. http://www.medicalnewstoday.com/medicalnews.php?newsid=26587

63. Essential Tremor Associated With Increased Risk Of Dementia People with essential tremor, a movement disorder that causes shaking of the hands, head, voice, or body, are more likely to develop dementia, according to http://www.medicalnewstoday.com/medicalnews.php?newsid=22944

64. Discovery Health :: Diseases & Conditions :: Essential Tremor essential tremor, also called ET, is uncontrollable shaking of the hands or head. It can also affect other parts of the body, but hands are most common. http://health.discovery.com/encyclopedias/illnesses.html?article=625&page=1

65. Essential Tremor - October 15, 2003 - American Family Physician essential tremor. What is essential tremor? essential tremor, sometimes called benign or familial tremor, is an uncontrollable shaking of the hands and http://www.aafp.org/afp/20031015/1553ph.html

Advanced Search AAFP Home Page Journals Vol. 68/No. 8 (October 15, 2003) Please note: This information was as current as we could make it on the date given above. But medical information is always changing, and some information given here may be out of date. For regularly updated information on a variety of health topics, please visit familydoctor.org , the AAFP patient education Web site. An article on this topic is available in this issue of AFP. Essential Tremor What is essential tremor? Essential tremor, sometimes called benign or familial tremor, is an uncontrollable shaking of the hands and forearms. You might notice this tremor when your arms are extended in front of your body. Tremor affects each person differently. Some people hardly notice it, but it embarrasses other people. Who gets essential tremor and why? No one knows why some people get essential tremor. It seems to run in families. You may be more likely to have a tremor if a parent or other close family member has a tremor. Tremor can start at any age but often happens in the teen years or in the 50s. It can get worse as you get older. Are there different kinds of tremor?

66. Essential Tremor essential tremor (ET) is considered the most common neurologic movement disorder. It affects an estimated 10 million people in the United States. http://www.cinn.org/ibsc/movement/essentialtremor.html

What is Deep Brain Stimulation Who is a good candidate Patient evaluation process Parkinson's Disease ... Send This Page To a Friend Essential Tremor Essential tremor (ET) is considered the most common neurologic movement disorder. It affects an estimated 10 million people in the United States. ET is a chronic condition characterized by involuntary, rhythmic tremor of a body part, most typically the hands and arms. In most patients, ET is considered a slowly progressive disorder and, in some patients, may eventually involve the head, voice, tongue (with associated dysarthria), legs, and trunk. However, in many people, the disease may be relatively non-progressive and the tremor may be mild throughout life. All tremors usually disappear during sleep. Unlike the resting tremor associated with (during which muscles are not voluntarily activated), the symptoms of essential tremor are either absent or minimal during periods of rest. As the disease progresses, individuals with ET experience varying degrees of functional disability and resultant handicap based on the severity of the tremor.

67. Understanding Essential Tremor - Washington, DC There may be as many as 10 million people with essential tremor in the essential tremor usually affects the hands, but it may also affect the head and http://www.georgetownuniversityhospital.org/body.cfm?id=555615

68. Understanding Essential Tremor Seminar - Washington, DC dedicated to meeting the needs of those whose daily lives are challenged by essential. To learn more about the IETF and essential tremor, click here. http://www.georgetownuniversityhospital.org/body.cfm?id=555624

69. Guidelines For Treatment Of Essential Tremor ? Imagine not being able to hold a glass, tie your shoelaces or write a check. For people with the common movement disorder known as essential tremor, http://www.news-medical.net/?id=11314

70. People With Essential Tremor Are More Likely To Develop Dementia ? People with essential tremor, a movement disorder that causes shaking of the hands, head, voice, or body, are more likely to develop dementia, http://www.news-medical.net/?id=9258

71. UNC Health Care - Essential Tremor Symposium An informative and interesting look at current treatment options, including Deep Brain Stimulation Therapy. Program includes these seminars Diagnosis of http://www.unchealthcare.org/site/classesevents/communityevents/tremor

72. VA Medical Center - San Francisco : Essential Tremor essential tremor is a common movement disorder, often familial, that results in tremor of the extremities, head, or voice. In the extremities, the tremor is http://www.sf.med.va.gov/general.asp?durki=430&site=26&return=427

73. VA Medical Center - San Francisco : Essential Tremor: Surgical Treatment essential tremor Surgical Treatment. Two procedures, thalamotomy and thalamic have demonstrated efficacy for the treatment of essential tremor. http://www.sf.med.va.gov/general.asp?durki=431&site=26&return=427

74. Essential Tremor In these cases it is called idiopathic or essential tremor (ET). While essential tremor may involve other parts of the body, the hands and head are most http://www.neurobc.com/conditions/essential_tremor.htm

MEMBER LOGON FEEDBACK SEARCH HOME general info about us patient info neurological tests BC specialty clinics neurology faq studies underway feedback support groups find a neurologist neuro conditions professional web research subspecialty links free screensavers clinical cases neurological quotes protocols on the web practice opportunities BC happenings PDA files BC/Can www links Information Sheets See Conditions Bell's Palsy Brain Tumors - Metastatic Brain Tumors - Primary Neural Carpal Tunnel Syndrome ... Tourette's Syndrome Essential Tremor What is Essential Tremor? Tremor is an uncontrollable rhythmic shaking. It may occur in several different neurological disorders which have other associated signs or symptoms. For some people, however, their only problem is the tremor and it is not associated with any other condition. In these cases it is called idiopathic or essential tremor (ET). While essential tremor may involve other parts of the body, the hands and head are most often affected. The shaking often begins in the dominant (writing) hand, and may spread to both hands, affecting both writing and eating. Some affected individuals also develop a quavering intonation to their speech as a result of the disorder. Essential tremor is often slowly progressive and shaking may worsen over time.

75. Essential Tremor—TheFamily Health Guide But essential tremor is 510 times more common than Parkinson s disease. Most people diagnosed with essential tremor have action tremor, which means they http://www.health.harvard.edu/fhg/updates/update1204c.shtml

Harvard Health Publications Order the Book Contact Us Search the FHG Sign up for our free e-mail newsletter, HEALTHbeat Email address: (optional) Your name: contact us Essential tremor The condition, which affects the muscles of the hands, head, and voice, is often mistaken for Parkinson's patients. But essential tremor is 5-10 times more common than Parkinson's disease. Most people diagnosed with essential tremor have action tremor, which means they shake when they move, and some develop a distinctive nodding or shaking of the head. People with Parkinson's usually experience tremors at rest, along with stiffness and slowness of movement. But there's some overlap between the two conditions. Some studies show that 90% of Parkinson's patients have action tremor and 20% of people with essential tremor have tremor at rest. Both conditions cause a loss of the sense of smell, but in essential tremor it's usually milder. Patients with essential tremor can go on to develop Parkinson's disease, but how many do so isn't known. Katherine Hepburn had essential tremor. Medical historians believe the playwright Eugene O'Neill and the American revolutionary Samuel Adams may have also had the disease. Researchers have diagnosed Adams by analyzing the handwriting in his letters.

76. Drug Treatments For Essential Tremor When essential tremor (ET) significantly interferes with daily activities, longterm drug Are there alternative therapies for essential tremor? http://www.clevelandclinic.org/health/health-info/docs/3500/3590.asp?index=11895

77. Postural Tremor Neurology Tremor Postural Essential. Initially presents as postural distal arm Tremor; Usually bilateral (may be unilateral initially) http://www.fpnotebook.com/NEU263.htm

Home About Links Index ... Editor's Choice document.write(code); Advertisement Neurology Tremor Disability ... Fragile X-Associated Tremor-Ataxia Syndrome Assorted Pages Tremor Action Tremor Cerebellar Tremor Postural Tremor ... Thalamotomy Postural Tremor Book Home Page Cardiovascular Medicine Dentistry Dermatology Emergency Medicine Endocrinology Gastroenterology Geriatric Medicine Gynecology Hematology and Oncology HIV Infectious Disease Jokes Laboratory Neonatology Nephrology Neurology Obstetrics Ophthalmology Orthopedics Otolaryngology Pediatrics Pharmacology Practice Management Prevention Psychiatry Pulmonology Radiology Rheumatology Sports Medicine Surgery Urology Chapter Neurology Index Autonomic Cerebellum Chorea Cranial Nerve Cognitive CSF Cardiovascular Medicine Demyelinating Dermatology Disability Examination Ophthalmology Geriatric Medicine Gynecology Headache Infectious Disease Laboratory General Level of Consciousness Motor Obstetrics Pediatrics Pharmacology Prevention Procedure Psychiatry Radiology Seizure Sensory Sports Medicine Surgery Symptom Evaluation Tremor Page Tremor Index Approach Action Action Cerebellar Disability FXTAS Postural Postural Alcohol Withdrawal Postural Essential Postural Neuropathy Postural Orthostatic Postural Physiologic Psychogenic Rest Rest Parkinsons Rest Parkinsons Resources See Also Action Tremor Description: Subtype of Action Tremor Patient attempts to maintain posture against gravity Example: Tremor holding arms out in front of body Moderate to high frequency: 5-9 Hz Low amplitude Causes Physiologic Tremor Essential Tremor Alcohol Withdrawal Drug Withdrawal Metabolic disturbances

78. Clinical Trial: 1-Octanol To Treat Essential Tremor Patients 21 years of age and older with essential tremor may be eligible for this Official Title Dose Finding Study of 1Octanol in essential tremor http://www.clinicaltrials.gov/ct/show/NCT00016679

Home Search Browse Resources ... About 1-Octanol to Treat Essential Tremor This study has been completed. Sponsored by: National Institute of Neurological Disorders and Stroke (NINDS) Information provided by: National Institutes of Health Clinical Center (CC) ClinicalTrials.gov Identifier: Purpose This study will determine the optimal dose of 1-octanol that will safely reduce tremors in patients with essential tremor-a disorder in which the hands, and sometimes the head, shake involuntarily. Current treatments may be ineffective or produce unwanted side effects. Ethanol (the chemical in beer and wine that causes intoxication) reduces tremor in many patients, but patients generally don't use it regularly because it interferes with daily activities. Laboratory studies show that 1-octanol, a drug that is similar to ethanol, may have the same beneficial effect on tremors with less likelihood of intoxication. Condition Intervention Phase Essential Tremor Drug: 1-Octanol Phase I MedlinePlus related topics: Movement Disorders Study Type: Interventional Study Design: Treatment, Safety

79. Clinical Trial: 1-Octanol To Treat Essential Tremor (1 milligram per kilogram of body weight) on essential tremor in humans. Patients with essential tremor 21 years old and older who wish to enroll in http://www.clinicaltrials.gov/ct/show/NCT00001986

Home Search Browse Resources ... About 1-Octanol to Treat Essential Tremor This study has been completed. Sponsored by: National Institute of Neurological Disorders and Stroke (NINDS) Information provided by: National Institutes of Health Clinical Center (CC) ClinicalTrials.gov Identifier: Purpose This study will evaluate the safety and effectiveness of the food additive 1-octanol for treating essential tremor. This disorder, which is an involuntary shaking, usually of the hands, has no satisfactory treatment. It affects more than one of every 100 people in the general population, with the figure climbing to nearly 4 in every hundred among people over 40 years old. In animal studies, 1-octanol reduced chemically induced tremors in rats. This study will test the effects of the accepted daily intake of 1-octanol (1 milligram per kilogram of body weight) on essential tremor in humans. Patients with essential tremor 21 years old and older who wish to enroll in this study will undergo eligibility screening with a medical history and physical examination that includes tests for thyroid, liver and kidney problems. Participants will be randomly assigned to receive either 1-octanol or a placebo (an inactive substance). Patients in both groups will have an intravenous catheter (a thin, plastic tube) placed in an arm vein for collecting blood samples during the study. Those in the 1-octanol group will be given a 1-octanol capsule; the placebo group will receive a look-alike capsule containing no active ingredient. Neither the patient nor the doctor will know which patients are taking 1-octanol or placebo until the end of the study.

80. Neurology - Clinical Services - Movement Disorders Center - Tremor/Essential Tre There are more than 20 kinds of tremor. essential tremor (ET) is the most common. Although called benign essential tremor in the past, it may be far from http://www.stronghealth.com/services/neurology/clinicalservices/tremor.cfm

@import "/css/Strongw3c.css"; Search: Search Help Neurology Patient Care Home Our Specialists Clinical Services Conditions We Treat ... Resources Research Home Our Faculty Education Home Programs for Medical Students Residency Programs Fellowship Programs ... Our Faculty More Information Neurology News Neurology Clinical Trials Neurology Clinical Services Movement and Inherited Neurological Disorders Unit Dystonia Clinic Huntington's Disease Clinic Parkinson's Disease Clinic Tremor/Essential Tremor Deep Brain Stimulation Research Information Clinical Trials Coordination Center Clinical Research Opportunities Fellowship in Experimental Therapeutics Tremor/Essential Tremor What is Tremor? Tremor refers to rhythmic shaking of a body part. There are more than 20 kinds of tremor. Essential Tremor (ET) is the most common. Although called benign essential tremor in the past, it may be far from benign. It may be frustrating, embarrassing, or disabling. People with ET may avoid dining in restaurants or talking in front of others. They may be tired of being told they're "nervous" because their voice quivers or they fear the ordeal of signing a check in public.

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