MDS Podcast Special Series: So common, so difficult: The phenomenology of tremor
Dec 2, 2024
Join neurologist Petra Schwingenschuh from the Medical University of Graz as she unpacks the complexities of diagnosing tremors. She emphasizes the importance of thorough patient histories and observation techniques. The discussion highlights innovative assessment methodologies, including structured examination scales. Schwingenschuh dives into the nuanced evaluation of tremor asymmetry and addresses the intriguing world of functional tremors, offering key insights for accurate diagnosis.
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Initial Tremor Assessment
- Start by asking the patient when the tremor started, which body part was affected first, and when they notice it.
- Observe the patient during the interview and proceed with a physical examination, checking for rest tremor, postural tremor, and action tremor.
Tremor Assessment Tools
- Use a standardized scale like the TETRAS or UPDRS to assess and document tremor.
- Note tremor severity (mild, moderate, or severe) if time is limited.
Assessing Leg and Head Tremor
- Assess leg tremor with the patient seated, legs outstretched, then standing and walking.
- If possible, have the patient lie down to assess leg tremor and head rest tremor.