After you get this diagnosed, WHAT IS THE SOLUTION TO THIS? Otherwise this is totally useless.
Systematic clinical approach for diagnosing upper limb tremor
Abstract
Tremor
is the most common movement disorder worldwide, but diagnosis is
challenging. In 2018, the task force on tremor of the International
Parkinson and Movement Disorder Society published a consensus statement
that proposes a tremor classification along two independent axes: a
clinical tremor syndrome and its underlying aetiology. In line with this
statement, we here propose a stepwise diagnostic approach that leads to
the correct clinical and aetiological classification of upper limb
tremor. We also describe the typical clinical signs of each clinical
tremor syndrome. A key feature of our algorithm is the distinction
between isolated and combined tremor syndromes, in which tremor is
accompanied by bradykinesia, cerebellar signs, dystonia, peripheral
neuropathy or brainstem signs. This distinction subsequently informs the
selection of appropriate diagnostic tests, such as neurophysiology,
laboratory testing, structural and dopaminergic imaging and genetic
testing. We highlight treatable(Where are the treatment protocols?) metabolic causes of tremor, as well as
drugs and toxins that can provoke tremor. The stepwise approach
facilitates appropriate diagnostic testing and avoids unnecessary
investigations. We expect that the approach offered in this article will
reduce diagnostic uncertainty and increase the diagnostic yield in
patients with tremor.
https://creativecommons.org/licenses/by/4.0/
This
is an open access article distributed in accordance with the Creative
Commons Attribution 4.0 Unported (CC BY 4.0) license, which permits
others to copy, redistribute, remix, transform and build upon this work
for any purpose, provided the original work is properly cited, a link to
the licence is given, and indication of whether changes were made.
See: https://creativecommons.org/licenses/by/4.0/.
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