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Given neurologists\u2019 high exposure to this condition, and its seemingly straightforward phenotype, it might seem easy to diagnose. However, 30%\u201350 % of patients labelled as having \u2018essential tremor\u2019 have other diagnoses, mostly Parkinson\u2019s disease and dystonia. The tremor of essential tremor is neither non-descript nor featureless but is multifaceted and highly patterned. This review focuses on its clinical features, beginning with a discussion of tremors and then briefly discussing its additional motor features, and presents several aids to help distinguish essential tremor from Parkinson\u2019s disease and dystonia. Careful attention to certain clinical nuances will aid the diagnosis and care of patients with essential tremor.<\/jats:p>","DOI":"10.1136\/practneurol-2018-002183","type":"journal-article","created":{"date-parts":[[2019,7,4]],"date-time":"2019-07-04T17:24:22Z","timestamp":1562261062000},"page":"389-398","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":35,"title":["Essential tremor: a nuanced approach to the clinical features"],"prefix":"10.1136","volume":"19","author":[{"given":"Elan D","family":"Louis","sequence":"first","affiliation":[{"name":"Division of Movement Disorders, Department of Neurology, Yale School of Medicine, Yale University, New Haven, CT, USA"},{"name":"Center for Neuroepidemiology and Clinical Neurological Research, Yale School of Medicine, Yale University, New Haven, CT, USA"},{"name":"Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, CT, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2019,7,4]]},"reference":[{"key":"2025090409222637000_19.5.389.1","doi-asserted-by":"publisher","DOI":"10.1159\/000356351"},{"key":"2025090409222637000_19.5.389.2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1468-1331.2012.03855.x"},{"key":"2025090409222637000_19.5.389.3","doi-asserted-by":"publisher","DOI":"10.1002\/mds.22838"},{"key":"2025090409222637000_19.5.389.4","doi-asserted-by":"publisher","DOI":"10.1002\/mds.10376"},{"key":"2025090409222637000_19.5.389.5","doi-asserted-by":"crossref","unstructured":"Seijo-Martinez M , Del Rio MC , Alvarez JR , et al . Prevalence of essential tremor on Arosa Island, Spain: a community-based, door-to-door survey. 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