Transcription of UNDERSTANDING Tremor in the Elderly
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UNDERSTANDING Tremor in the Elderly
The Canadian Journal of Diagnosis/ April 200199 UNDERSTANDINGT remor inthe ElderlyBy Joel Hurwitz, MB, FRCPC, FCPT remor is an important and frequent symptom/sign in olderpatients requiring a logical approach to diagnosis. The clinicianshould know the different types of common tremors, keyquestions to ask, practical office examination skills, specific drugtreatments, when to refer the patient for a specialist opinion andthe possible role of andCharacteristics of TremorTremor is defined as a rhythmic, oscillatorytype of involuntary movement. When foundin the Elderly , it needs to be distinguishedfrom: Dystonia (sustained involuntary con-traction); Chorea (rapid, random flowing move-ments); Myoclonus (rapid jerking movements); Akasthisia (subjective state of motorrestlessness usually a consequence ofneuroleptic exposure); and Tardive dyskinesia (mouth, tongue andchewing movements associated with atleast thr)
The Canadian Journal of Diagnosis / April 2001 99 UNDERSTANDING Tremor in the Elderly By Joel Hurwitz, MB, FRCPC, FCP Trem or is an important and frequent symptom/sign in older
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