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Previous Volume 345:887-891 September 20, 2001 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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This Journal feature begins with a case vignette highlighting a common clinical problem. Evidence supporting various strategies is then presented, followed by a review of formal guidelines, when they exist. The article ends with the author's clinical recommendations.

A 66-year-old woman presents with tremor of the hands. She first noticed a mild tremor six years earlier, but the tremor has been worsening for the past two years. It occurs when she is using her hands, interfering with some activities of daily living. For example, she can no longer eat soup without spilling, put in her contact lenses, or apply lipstick. . . . [Full Text of this Article]

The Clinical Problem

Strategies and Evidence

Diagnosis

Treatment

            First-Line Therapies

            Second-Line Therapies

            Other Therapies

Areas of Uncertainty

Guidelines

Conclusions and Recommendations

Source Information

From the Gertrude H. Sergievsky Center and the Department of Neurology, Columbia University, New York.

Address reprint requests to Dr. Louis at Unit 198, Neurological Institute, 710 W. 168th St., New York, NY 10032, or at edl2@columbia.edu.

References

Related Letters:

Essential Tremor
van den Noort S., Louis E. D.
Extract | Full Text | PDF  
N Engl J Med 2002; 346:709-710, Feb 28, 2002. Correspondence

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