Essential tremor   


Pathophysiology

Diagnosis

Treatment

  1. Mainstays
  2. Gabapentin well-tolerated by older pts
  3. Benzodiazepines to control tremor-enhancing anxiety
  4. Botulinum toxin currently under investigation
  5. Strength training programs decr magnitude but do not improve functional ability
  6. Consider surgical management for severe disabling tremors after medical treatment has failed