HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS REGISTER		Author Keyword(s) Vol Page [Advanced]

This Article Full Text Full Text (PDF) Submit a response Alert me when this article is cited Alert me when eLetters are posted Alert me if a correction is posted Services Email this link to a friend Similar articles in this journal Add article to my folders Download to citation manager Request Permissions Citing Articles Citing Articles via HighWire Citing Articles via Google Scholar Google Scholar Articles by Davenport, R. Search for Related Content PubMed Articles by Davenport, R.

Shaky older men (and now women)

Consultant Neurologist, Department of Clinical Neurosciences, Western General Hospital, Crewe Road, Edinburgh EH4 2XU, UK; rjd@skull.dcn.ed.ac.uk

The first 150 words of the full text of this article appear below.

A retired man in his sixties presented in 1995 with a history of tremor, gradually worsening over the preceding eight years. He described this as a postural and action tremor affecting his upper limbs symmetrically, but there were no parkinsonian symptoms. A maternal aunt had suffered with a tremor, but no other details were known, and alcohol did not affect his tremor. More recently he thought he had become unsteady on his feet, although this only troubled him when walking in the Himalayas! He was not on any medication and was otherwise well.

On examination he was mildly dysarthric, had a postural tremor of the upper limbs with a superimposed action component, and his deep tendon reflexes were diminished. There was reduction to pain sensation in a stocking distribution. There were no other signs.

A diagnosis of either a neuropathy related tremor or essential tremor was considered, and the following . . . [Full text of this article]

This article has been cited by other articles:

				R. de Silva and R. J Davenport Diagnostic DNA testing and consent Practical Neurology, February 1, 2007; 7(1): 62 - 63. [Full Text] [PDF]