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Tremor associated with peripheral neuropathy

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Movement Disorders: Tremor

Abstract

There are a variety of movement disorders that are seen in association with peripheral neuropathies (Shahani and Young, 1976a,b). Sensory ataxia, which gets worse with the eyes closed, can usually be easily distinguished from ‘cerebellar’ ataxia, which is most prominent in the terminal part of the movement, producing slow, large-amplitude oscillations of the limb in different directions in three-dimensional space. ‘Contraction fasciculations’, which are seen in patients with chronic denervation and reinnervation, are due to pathology of motoneurones and/or their axons. They can be easily identified clinically through weakness in the affected muscles and by electromyography (EMG), where there is evidence of prolonged duration and large-amplitude motor unit potentials recorded with conventional needle EMG. In addition to these movement disorders, there are specific types of action tremors seen in association with different types of peripheral neuropathies. The purpose of this chapter is to discuss some of these clinical entities with emphasis on the underlying pathophysiological mechanisms responsible for them.

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Authors
  1. B. T. Shahani
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Editor information

Editors and Affiliations

  1. Regional Centre for Neurology and Neurosurgery, Oldchurch Hospital, Romford, UK

    Leslie J. Findley (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist) & Rudy Capildeo (Consultant Neurologist) (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist) &  (Consultant Neurologist)

  2. Harold Wood Hospital, Romford, Essex, UK

    Leslie J. Findley (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist) (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist)

  3. Queen Elizabeth Military Hospital, Woolwich, London, UK

    Leslie J. Findley (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist) (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist)

  4. MRC Neuro-Otology Unit, Institute of Neurology, The National Hospital, Queen Square, London, UK

    Leslie J. Findley (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist) (Consultant Neurologist, Visiting Consultant Neurologist, Research Neurologist)

  5. Basildon and Orsett Hospitals, Essex, UK

    Rudy Capildeo (Consultant Neurologist) (Consultant Neurologist)

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© 1984 B. T. Shahani

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Shahani, B.T. (1984). Tremor associated with peripheral neuropathy. In: Findley, L.J., Capildeo, R. (eds) Movement Disorders: Tremor. Palgrave Macmillan, London. https://doi.org/10.1007/978-1-349-06757-2_29

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  • DOI: https://doi.org/10.1007/978-1-349-06757-2_29

  • Publisher Name: Palgrave Macmillan, London

  • Print ISBN: 978-1-349-06759-6

  • Online ISBN: 978-1-349-06757-2

  • eBook Packages: MedicineMedicine (R0)

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