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Treatment Patterns in Essential Tremor: A Retrospective Analysis Cover

Treatment Patterns in Essential Tremor: A Retrospective Analysis

Open Access
|Mar 2022

Figures & Tables

tohm-12-1-682-g1.png
Figure 1

Distribution of Age at onset of Essential Tremor.

Table 1

Overview of medication use in 1074 ET patients.

Confirmed cases of ET with treatment data1074
    No treatment291 (27.1%)
    One medication500 (46.5%)
    Two medications196 (18.2%)
    Three medications66 (6.1%)
    Four or more medications21 (2.0 %)
Total number of prescriptions1172
    Primidone546 (46.6%)
    Propranolol419 (35.8%)
    Topiramate122 (10.4%)
    Gabapentin35 (3.0%)
    Benzodiazepines (clonazepam + diazepam)24 (2.0%)
    Metoprolol20 (1.7%)
    Atenolol3 (0.2%)
    Nadolol3 (0.2%)
Total number of Rx w/medication response1030
    Side effects leading to discontinuation138
    No response180
tohm-12-1-682-g2.png
Figure 2

Tremor response based on individual treatment.

Table 2

Non-pharmacological treatments provided to ET patients.

Number of patients receiving botulinum toxin (n = 1074)52 (4.8%)
    2001–200610 (19.2%)
    2007–201214 (26.9%)
    2013–201828 (53.8%)
    Mean age at first injection67.8 ± 11.4
    Mean number of treatment visits5.2
    Median number of treatments4
    Medications + Botulinum toxin47 (90.4%)
    Unilateral limb injections27 (51.9%)
    Bilateral limbs injections25 (48.1%)
Muscle Distribution Pattern (n = 52)
    Forearm flexors49 (94.2%)
    Supinators23 (44.2%)
    Forearm extensors19 (36.5%)
    Pronator teres10 (19.2%)
Number of patients receiving DBS (n = 1074)41 (3.8%)
    Unilateral VIM (n = 41)4 (9.8%)
    Unilateral VIM (n = 41)37 (90.2%)
DOI: https://doi.org/10.5334/tohm.682 | Journal eISSN: 2160-8288
Language: English
Submitted on: Jan 6, 2022
Accepted on: Mar 5, 2022
Published on: Mar 23, 2022
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2022 Chintan Shah, George R. Jackson, Aliya I. Sarwar, Pitchaiah Mandava, Fariha Jamal, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.