Tremor: A systematic approach.

Abstract

Background: Tremor is a common but complex involuntary movement disorder often first assessed by general practitioners (GPs). Due to its diverse causes and manifestations, an accurate assessment of a patient's tremor helps guide initial investigations and treatments.

Objective: The purpose of this paper is to equip GPs with a framework for the identification, diagnosis and management of different types of tremors.

Discussion: This paper offers a comprehensive, current overview of tremor assessment in general practice. It particularly focuses on Parkinson's disease, essential tremor syndrome and dystonic tremor, while highlighting diagnostic masquerades and red flags for urgent neurological evaluation.