Movement disorders and tremors

Abstract

Movement disorders are common, and can be difficult to categorise correctly. In this article, we present the common movement disorders seen by GPs and provide an overview of their classification. Most movement disorders presenting in primary care will need referral to a neurologist for full diagnosis and management. However, essential tremor is usually managed in primary care, and being able to differentiate it from other forms of tremor, especially Parkinson's disease, as well as being familiar with its initial management, is important. For all patients, being aware of the potential impact on daily function is paramount, and adopting a multidisciplinary approach to management should always be considered.

Parkinson’s disease: initial presentation

“…There are no other neurological signs and disability is never profound. A previous ... ................................................................................................................................................................................................................................................. ............................................................................................................................................................................................................................. InnovAiT article explores the differential diagnosis of tremor and features of the tremors caused by different causes (Khalil and Mallik, 2013).…”

Neurological assessment

“…Figure 2 shows the cutaneous innervation of the head and neck. (Khalil & Mallick, 2013) explores the assessment and causes of tremor and abnormal movements in depth. If there is muscle wasting, assess whether this is generalised or localised and whether there is any fasciculation that might indicate motor neurone disease.…”