Abstract

Objective: Most of the tremors observed in childhood constitute essential tremor (ET). In this study, retrospective information of thepatients who were diagnosed with essential tremor by the pediatric neurology out patient clinic of an education and research hospital were analyzed.

Material and Methods: Patients who were admitted to the pediatric neurology out patient clinic with a complaint of tremor in the 3-year period between June 2016 and June 2019 were diagnosed based on the criteria of Movement Disorders Society (1998). SPSS 17.0 program was used in the analysis and p<.05 was accepted as the level of significance.

Results: It was determined that the cases diagnosed with essential tremor were 93 in total, the median age was 16 years (6-18 years), 54.8% (n = 51) were girls and 45.2% (n = 42) were boys. While 7.5% (n = 7) of the cases were in the child age group (6-11 years), 92.5% (n = 86) were in the adolescent age group (12-18 years). It was found that child-adolescent psychiatry was consulted due to psychiatric symptoms developing secondary to essential tremor in 17.2% (n = 16) of the cases. It was observed that 11.8% (n = 11) of th cases were prescribed dideral treatment. It was found that dideral treatment was not recommended for the childage group, and the child and adolescent age groups were directed to the child psychiatry department at simila rates (p> .05).

Conclusion: Essential tremor affects the gender of girls and boys in similar proportions and dideral is observed as a treatment option especially in adolescent group. In our cross-section, it was observed that there was a similar rate of psychiatric influences in both male and females exes and child-adolescent age groups. The findings are consistent with the literature.

Keywords: Child, Adolescent, Essential tremor, Propranolol

References

  1. Kızıltan G. Çocuk ve ergende nörolojik hastalıklara yaklaşım rehber kitabı 2015. 163. Chapter. Tremor ve İlişkili Durumlar. İstanbul Üniversitesi, Cerrahpaşa Tıp Fakültesi, Nöroloji AD. Türk Nöroloji Derneği Kitabı, sayfalar: 163-169.
  2. Keller S, Dure LS. Tremor in childhood. Semin Pediatr Neurol 2009; 16: 60-70
  3. Meoni S, Macerollo A, Moro E. Sex differences in movement disorders. Nat Rev Neurol 2020;16(2):84-96. doi: 10.1038/s41582-019-0294-x.
  4. Sullivan KL, Hauser RA, Zesiewicz TA. Essential Tremor Epidemiology, Diagnosis, and Treatment. The Neurologist 2004; 10: 250-8.
  5. Charles PD, Esper GJ, Davis TL, Maciunas RJ, Robertson D. Classification of Tremor and Update on Treatment. Am Fam Physician 1999; 59: 1565-72.
  6. Deuschl G, Bain P, Brin M. Consensus statement of the Movement Disorder Society on Tremor. Ad Hoc Scientific Committee. Mov Disord 1998; 13 Suppl 3: 2-23.
  7. Tüzün S, Çiftçili S, Apaydın-Kaya Ç. Tremor I: Tanı ve tedavi. Türk Aile Hek Derg 2009; 13(4): 200-205.
  8. Louis ED. Essential tremor. Lancet Neurol 2005; 4: 100-110.
  9. Acar BA, Acar T. Esansiyel Tremor Sadece Hareket Hastalığı Değildir; Uyku ve Anksiyetenin Hastalıkla İlişkisi. Nöropsikiyatri Arşivi 2019; 56: 18-22.
  10. Chandran V, Pal PK, Reddy JYC, Thennarasu K, Yadav R, Shivashankar N. Non-motor features in essential tremor. Acta Neurol Scand 2012; 125: 332– 337.
  11. Hubble JP, Busenbark KL, Pahwa R, Lyons K, Koller WC. Clinical expression of essential tremor: Effects of gender and age. Movement Disorder 1997; 12(6): 969-972.
  12. Louis ED, Ferreira JJ. How common is the most common adult movement disorder? Update on the worldwide prevalence of essential tremor. Mov Disord 2010; 25: 534–541.
  13. Hardesty DE, Maraganore DM, Matsumoto JY, Louis ED. Increased risk of headtremor in women with essential tremor: longitudinal data from the Rochester Epidemiology Project. Mov Disord 2004;19:529-33.
  14. Louis ED. Essential tremor: a nuanced approach to the clinical features. Pract Neurol. 2019 Oct;19(5):389-398. doi: 10.1136/practneurol-2018-002183.
  15. Louis ED. The Roles of Age and Aging in Essential Tremor: An Epidemiological Perspective. Neuroepidemiology. 2019;52(1-2):111-8.
  16. Yaşar H, Balıbey H, Tekeli H, Alay S, Şenol MG, Türker T, Bayar N. Journal of Mood Disorders 2014; 4(2): 66-69.
  17. Sengul Y, Sengul HS, Yucekaya SK, Yucel S, Bakim B, Pazarci NK, et al. Cognitive functions, fatigue, depression, anxiety and sleep disturbances: assesment of nonmotor features in young patients with essential tremor. Acta Neurol Belg 2015; 115: 281-7.
  18. Zesiewicz TA, Chari A, Jahan I, Miller AM, Sullivan KL. Overview of essential tremor. Neuropsychiatr Dis Treat 2010; 6:401-8.

How to cite

1.
Yılmaz A. Demographics, Clinical and Treatment Characteristics of Children and Adolescents with Essential Tremor: A Retrospective Cross-Sectional Analysis. Turk J Pediatr Dis [Internet]. 2022 Jan. 28 [cited 2025 Aug. 23];16(1):1-4. Available from: https://turkjpediatrdis.org/article/view/910