{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T05:36:00Z","timestamp":1792128960735,"version":"4.4.0"},"reference-count":38,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2004,11,4]],"date-time":"2004-11-04T00:00:00Z","timestamp":1099526400000},"content-version":"vor","delay-in-days":2256,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Movement Disorders"],"published-print":{"date-parts":[[1998,9]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>BACKGROUND: 99.5% of individuals with essential tremor (ET) who live in the community have mild tremor and do not attend clinics. Clinic\u2010based studies of ET have not allowed investigators to characterize the full clinical spectrum of this disorder. In community\u2010based studies of ET, the primary focus has been the prevalence rather than the clinical characteristics of ET.<\/jats:p><jats:p>OBJECTIVE: To describe the clinical characteristics of ET as seen in a community\u2010based study.<\/jats:p><jats:p>METHODS: 73 subjects with ET, identified in a community\u2010based study of ET in Washington Heights\u2010Inwood, New York, underwent a standardized 84\u2010item physicianadministered tremor interview and a 26\u2010item videotaped tremor examination which included 12 bedside tests for ET. Two neurologists who specialized in movement disorders and who demonstrated excellent interrater agreement rated the severity of tremor using a 0 to +3 clinical rating scale and assigned a total tremor score (range, 0\u201336) and a diagnosis of ET.<\/jats:p><jats:p>RESULTS: Diagnoses in the 73 cases were: definite ET (18, 24.7%), probable ET (32, 43.8%), and possible ET (23, 31.5%). The mean total tremor score was 17.8 of 36. Thirty\u2010six of 73 (49.3%) were asymptomatic, answering \u201cno\u201d to the question \u201cdo you often have shaking or tremor that you can't control?\u201d Sixty\u2010seven of 73 (91.8%) had not been prescribed medication for tremor. On average, subjects received tremor ratings of \u2265+2 on only 5.4 of the 12 bedside tests for ET. Kinetic tremor was rated as more severe than postural tremor in 72 (98.6%) of 73 cases.<\/jats:p><jats:p>CONCLUSIONS: We present the clinical findings of a group of largely untreated, unselected cases of ET that would not otherwise have come to neurologic attention. The tremor was mild, often asymptomatic, and not uniformly present throughout the examination. It was rarely treated. The kinetic component of the tremor was more severe than the postural component. These clinical data further our understanding of the clinical spectrum of ET.<\/jats:p>","DOI":"10.1002\/mds.870130508","type":"journal-article","created":{"date-parts":[[2004,12,31]],"date-time":"2004-12-31T09:49:30Z","timestamp":1104486570000},"page":"803-808","source":"Crossref","is-referenced-by-count":62,"title":["Clinical characteristics of essential tremor: Data from a community\u2010based study"],"prefix":"10.1002","volume":"13","author":[{"given":"Elan D.","family":"Louis","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Blair","family":"Ford","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin J.","family":"Wendt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabriella","family":"Cameron","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2004,11,4]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1995.00540360079019"},{"key":"e_1_2_1_3_2","first-page":"1","article-title":"Essential tremor: a clinical and genetic population study","volume":"36","author":"Larsson T","year":"1960","journal-title":"Acta Psych Neurol Scand"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.44.1.61"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1982.00510240012003"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1988.00520320105023"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/mds.870130105"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.46.5.1200"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/72.2.113"},{"key":"e_1_2_1_10_2","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1951.03810060035004"},{"key":"e_1_2_1_11_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.25.2.122"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1212\/WNL.41.2_Part_1.234"},{"key":"e_1_2_1_13_2","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/117.4.805"},{"key":"e_1_2_1_14_2","first-page":"362","article-title":"Clinical manifestations of essential tremor","volume":"35","author":"Crithley E.","year":"1972","journal-title":"J Neurol Neurosurg Psychiatry"},{"key":"e_1_2_1_15_2","first-page":"876","article-title":"The nature of essential tremor","volume":"109","author":"Ashenhurst EM.","year":"1973","journal-title":"CMA Journal"},{"key":"e_1_2_1_16_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1982.tb03129.x"},{"key":"e_1_2_1_17_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1600-0404.1987.tb07883.x"},{"key":"e_1_2_1_18_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1985.04060070045013"},{"key":"e_1_2_1_19_2","first-page":"123","article-title":"Mariam AG, et al. 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