Features

• autosomal dominant disorder (variable penetrance)

• often begins in early adult life, even adolescence

• begins with a slight tremor in one hand and spreads to other with time

• may involve head (titubation), chin and tongue and rarely trunk and legs

• interferes with writing (not micrographic), handling cups of tea and spoons, etc.

• tremor most marked when arms held out (postural tremor)

• tremor exacerbated by anxiety

• may affect speech if it involves bulbar musculature

• relieved by alcohol

• can swing arm and gait normal

Dealing With Back Pain

Dealing With Back Pain

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