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Neurology 4

A 50-year-old man comes into the clinic complaining of trembling in his hands, which has been worsening over the last five years. He reports that the trembling decreases when he drinks glass of wine each night. His father and brother have similar tremors. On physical examination, he has a high frequency, bilateral tremor when he extends his hands to reach for an object. No other neurologic signs are noted. He is prescribed propranolol, which improves his symptoms.

Which of the following is the most likely diagnosis?

  • A) Dystonia
  • B) Essential tremor
  • C) Hemiballismus
  • D) Intention tremor
  • E) Parkinson disease


Tanner Henrie


Dr. Ted O'Connell