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NEUROLOGY 1985;35:1660
© 1985 American Academy of Neurology

Tremor in chronic alcoholism

William Koller, MD, PhD, Robert O'Hara, MD, Walter Dorus, MD and Judy Bauer, RN, CAC

From the Neurology Service (Drs. Koller and O'Hara) and Psychiatry Service (Drs. Dorus and Ms. Bauer), Alcohol Treatment and Education Center, Hines VA Hospital, Loyola Medical Center, Hines, IL.

We examined 100 alcoholics who had had no alcohol for more than 21 days, 100 controls, and 50 patients with essential tremor. Three percent of the controls and 47% of the alcoholics had a postural tremor. Alcoholic tremor was never severe, and functional disability occurred in only 17% of patients. There was no relation to age or duration of drinking, and only 1% of the alcoholics had a family history of tremor compared with 46% in essential tremor. Tremor frequency was significantly greater in the alcoholics than in essential tremor. Propranolol therapy decreased tremor more in the alcoholics than in essential tremor. The tremor of chronic alcoholism differs from essential tremor.

Address correspondence and reprint requests to Dr. Koller, Neurology Service, Hines VA Hospital, Hines, IL 60141.

Supported by the Veterans Administration.

Accepted for publication February 6, 1985.




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