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The following in vitro data are available, but their clinical significance is unknown.

Neuropathic tremor Neuropathic tremor is thought to arise secondary to central processing of mistimed and distorted peripheral input that occurs with neuropathic disease. Careful evaluation for subtle dystonic posturing and the presence of a null point and/or geste antagoniste (a tactile or proprioceptive sensory trick that reduces the abnormal posture), as well as attention to tremor quality (jerky versus smooth), are helpful in making the correct diagnosis. In patients with head tremor, it is also helpful to remember that the typical head tremor seen in ET rarely occurs in the absence of coexistent hand tremor. It is usually irregular and distal, and can be asymmetric or relatively symmetric, with frequencies in the upper limbs ranging from 3 to 6 Hz. Fahn tolosa marin tremor rating scale pdf plans. DT of the head or hand can sometimes be confused with ET or PD, and patients with DT have been postulated to account for some of the instances of patients with parkinsonism who have normal dopamine neuroimaging (scans without evidence of dopaminergic deficit (SWEDDs), or scans without evidence of dopaminergic deficit).