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Management
Figure 1. Overview of Management of Essential Tremor
At anytime during the treatment algorithm:
› Assistive devices can be used
› Discussions with patients regarding social stigmas, and for
severe cases, social security/disability support
Essential Tremor
• Examination to establish presence of tremor
• Rule out other causes of tremor, such as
medications, Parkinson's disease, dystonia, etc.
First Line
Pharmacological
Approaches
Propranolol, primidone or a
combination
Peripheral Nerve
Stimulation
Felix NeuroAI Wristband
Cala kIQ
Note: These can be used
throughout treatment except
with DBS
Second/Third Line
Pharmacological
Approaches
Topiramate, gabapentin,
other beta blockers,
benzodiazepines
Surgery
DBS, FUS or other surgical
approaches
