II. Definition
- Patient attempts to maintain body position at rest (despite support against gravity)
III. Symptoms
-
Tremor characteristics
- Low to moderate frequency: 3 to 6 Hz
- High amplitude
- Patient attempts to maintain body position at rest
- Provocative factors (increases Tremor amplitude)
- Mental stress
- Distraction (e.g. Serial 7s, counting backwards)
- Moving another body part (e.g. walking)
- Palliative factors (decreases Tremor amplitude)
- Goal-directed movement (e.g. Finger-Nose-Finger)
IV. Examination
- See Parkinson's Disease
- Passively flex and extend arms for cogwheel rigidity
- Observe for shuffling gait
V. Causes
- Parkinson's Disease (most common)
- Multiple-Systems atrophy
- Progressive Supranuclear palsy
-
Drug-Induced Tremor
- Neuroleptic medications
- Metoclopramide (Reglan)
- Rubral Tremor
- Psychogenic Tremor
- Severe Essential Tremor
VI. Management
- Levodopa-Carbidopa (Sinemet)
- Anticholinergics
- Other antiparkinson Meds
- Deep Brain Stimulation
- Pallidotomy
- Thalamotomy
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Related Studies
Concepts | Sign or Symptom (T184) |
MSH | D014202 |
SnomedCT | 25082004 |
English | Tremor Resting, Rest tremor, resting tremor, resting tremor (physical finding), Rest Tremor, Rest Tremors, Resting Tremors, Tremor, Rest, Tremor, Resting, Tremors, Rest, Tremors, Resting, resting tremors, rest tremors, rest tremor, tremor resting, Resting tremor, Resting tremor (finding), rest; tremor, tremor; rest, Resting Tremor |
Portuguese | Tremor de Repouso, Tremor de repouso |
Spanish | Temblor en Reposo, Temblor de reposo, temblor durante el descanso (hallazgo), temblor durante el descanso |
French | Tremblement de repos |
German | Ruhetremor, Ruhender Tumor |
Dutch | rustende tumor, rust; tremor, tremor; rust, Rusttremor |
Hungarian | Nyugalmi remegés |
Czech | Klidový třes, klidový třes |
Japanese | アンセイジシンセン, 安静時振戦 |
Norwegian | Hviletremor |
Italian | Tremore a riposo |