Essential Tremor Differential Diagnoses

Updated: Oct 22, 2018
  • Author: Deborah A Burke, MD; Chief Editor: Selim R Benbadis, MD  more...
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DDx

Diagnostic Considerations

Conditions to consider in the differential diagnosis of essential tremor include the following:

  • Cerebellar tremor

  • Dystonia and dystonic tremors

  • Enhanced physiologic tremor

  • Isolated chin tremor

  • Isolated voice tremor

  • Movement disorders

  • Orthostatic tremor

  • Palatal tremor

  • Rubral tremor

  • Writer's tremor and other task-specific tremors

  • Psychogenic tremor

Drug-induced tremors can result from the following:

  • Antidepressants, especially tricyclics

  • Beta agonists

  • Depakote

  • Dopamine

  • Lithium

  • Metoclopramide

  • Neuroleptics

  • Theophylline

  • Thyroid hormones

  • Withdrawal of drugs

Metabolism-related tremors can result from the following disorders:

  • B-12 deficiency

  • Hyperthyroidism

  • Hyperparathyroidism

  • Hypocalcemia

  • Hyponatremia

  • Kidney disease

  • Liver disease

Toxin-related tremors can result from the following :

  • Alcohol

  • Arsenic

  • Caffeine

  • Dichlorodiphenyltrichloroethane (DDT)

  • Lead

  • Nicotine

  • Toluene

  • Withdrawal of alcohol, cocaine

Differential Diagnoses