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. 1985 Jun;48(6):545–550. doi: 10.1136/jnnp.48.6.545

Writing tremor: its relationship to benign essential tremor.

T Kachi, J C Rothwell, J M Cowan, C D Marsden
PMCID: PMC1028370  PMID: 4009190

Abstract

Nine patients with tremor on writing and one patient with tremor only on swinging a golf club were investigated. None of the patients had any other neurological symptoms or signs. The frequency of the tremor ranged from 5 to 6 Hz. Rapid passive supination or pronation of the forearm by a torque motor evoked a short burst of alternating tremor in seven patients. The tremor was improved by alcohol or propranolol in six patients. These characteristics of writing tremor (and of other isolated action tremors) suggest that it is a variant of benign essential tremor.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Garcin R., Rondot P., Guiot G. Rhythmic myoclonus of the right arm as the presenting symptom of a cervical cord tumour. Brain. 1968 Mar;91(1):75–84. doi: 10.1093/brain/91.1.75. [DOI] [PubMed] [Google Scholar]
  2. Growdon J. H., Shahani B. T., Young R. R. The effect of alcohol on essential tremor. Neurology. 1975 Mar;25(3):259–262. doi: 10.1212/wnl.25.3.259. [DOI] [PubMed] [Google Scholar]
  3. Hirai T., Miyazaki M., Nakajima H., Shibazaki T., Ohye C. The correlation between tremor characteristics and the predicted volume of effective lesions in stereotaxic nucleus ventralis intermedius thalamotomy. Brain. 1983 Dec;106(Pt 4):1001–1018. doi: 10.1093/brain/106.4.1001. [DOI] [PubMed] [Google Scholar]
  4. Klawans H. L., Glantz R., Tanner C. M., Goetz C. G. Primary writing tremor: a selective action tremor. Neurology. 1982 Feb;32(2):203–206. doi: 10.1212/wnl.32.2.203. [DOI] [PubMed] [Google Scholar]
  5. Koller W. C., Biary N. Effect of alcohol on tremors: comparison with propranolol. Neurology. 1984 Feb;34(2):221–222. doi: 10.1212/wnl.34.2.221. [DOI] [PubMed] [Google Scholar]
  6. Lee R. G., Stein R. B. Resetting of tremor by mechanical perturbations: a comparison of essential tremor and parkinsonian tremor. Ann Neurol. 1981 Dec;10(6):523–531. doi: 10.1002/ana.410100606. [DOI] [PubMed] [Google Scholar]
  7. McAllister R. G., Jr Intravenous propranolol administration: a method for rapidly achieving and sustaining desired plasma levels. Clin Pharmacol Ther. 1976 Nov;20(5):517–523. doi: 10.1002/cpt1976205517. [DOI] [PubMed] [Google Scholar]
  8. Ohye C., Miyazaki M., Hirai T., Shibazaki T., Nakajima H., Nagaseki Y. Primary writing tremor treated by stereotactic selective thalamotomy. J Neurol Neurosurg Psychiatry. 1982 Nov;45(11):988–997. doi: 10.1136/jnnp.45.11.988. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Rothwell J. C., Traub M. M., Marsden C. D. Primary writing tremor. J Neurol Neurosurg Psychiatry. 1979 Dec;42(12):1106–1114. doi: 10.1136/jnnp.42.12.1106. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Shahani B. T., Young R. R. Physiological and pharmacological aids in the differential diagnosis of tremor. J Neurol Neurosurg Psychiatry. 1976 Aug;39(8):772–783. doi: 10.1136/jnnp.39.8.772. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Sheehy M. P., Marsden C. D. Writers' cramp-a focal dystonia. Brain. 1982 Sep;105(Pt 3):461–480. doi: 10.1093/brain/105.3.461. [DOI] [PubMed] [Google Scholar]
  12. Sweet R. D., Blumberg J., Lee J. E., Mc Dowell F. H. Propranolol treatment of essential tremor. Neurology. 1974 Jan;24(1):64–67. doi: 10.1212/wnl.24.1.64. [DOI] [PubMed] [Google Scholar]

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