Sep 17, 2026 · 21 min · 11 segments
Tremor is an involuntary oscillatory and rhythmic movement of a body part. It commonly affects the upper extremities but can also affect the head, chin, voice, or legs. Tremor may impair activities…
Camilla KilbaneGuestKieran WalshHost
So I would say that there is no real way to distinguish Lewy body dementia tremor to a Parkinsonian tremor.

So this is actually an area of some controversy within the neurology field and movement disorder field in particular.

And this term came up because there are some people who have essential tremor, but in addition to that, they have some other soft neurological signs.

They may have some slight symptoms of what we call, for example, dystonia, memory problems, and things like that, but not enough to characterize it as another disorder.

And so this group of patients gets lumped into this es-essential tremor plus category.

But the treatment for this type of tremor would be the same from a management point of view.

But I think if you diagnose someone with essential tremor plus, it's kind of a red flag or a warning sign that you are keeping a closer eye on this patient, making sure that they're not developing into another disorder over time, for example.

So I would say that there is no real way to distinguish Lewy body dementia tremor to a Parkinsonian tremor.

So this is actually an area of some controversy within the neurology field and movement disorder field in particular.

And this term came up because there are some people who have essential tremor, but in addition to that, they have some other soft neurological signs.

They may have some slight symptoms of what we call, for example, dystonia, memory problems, and things like that, but not enough to characterize it as another disorder.

And so this group of patients gets lumped into this es-essential tremor plus category.

But the treatment for this type of tremor would be the same from a management point of view.

But I think if you diagnose someone with essential tremor plus, it's kind of a red flag or a warning sign that you are keeping a closer eye on this patient, making sure that they're not developing into another disorder over time, for example.
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