Evidence map›Paper›PMID 29204312›Full record

ReviewTremor and other hyperkinetic movements (New York, N.Y.)2017

Insights into Pathophysiology from Medication-induced Tremor.

John C Morgan, Julie A Kurek, Jennie L Davis, Kapil D Sethi

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Tremor and other hyperkinetic movements (New York, N.Y.), 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06488651 (Trajectory of Immunosuppression-Caused Tremor In Kidney and Lung Transplant Recipients), which is not on this map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
1.3field-weighted citation impact, top 18% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06488651 completednot on this mapstarted 2022, after this paper: background citation

Trajectory of Immunosuppression-Caused Tremor In Kidney and Lung Transplant Recipients

TypeobservationalSponsorUniversity Medical Center GroningenRan2022 to 2025Enrolled72ConditionsKidney Transplantation, Tremor
3 · Its place in the literature

Who cites it

19 citing papers in PubMed, 37 citations in OpenAlex.

  1. Trial
  2. Tremor, Daily Functioning, and Health-Related Quality of Life in Solid Organ Transplant Recipients.Transplant international : official journal of the European Society for Organ Transplantation · 2023
    Trial
  3. Article
  4. Review
  5. Review
  6. Article
  7. Phenomenology and Physiology of Tacrolimus Induced Tremor.Tremor and other hyperkinetic movements (New York, N.Y.) · 2023
    Article
  8. Article
  9. Review
  10. Review
  11. Article
  12. Spectral Analysis of Lithium Tremor.Noro psikiyatri arsivi · 2021
    Article
  13. Article
  14. Reply - Clinical Spectrum of Drug-Induced Movement Disorders: A Study of 97 Patients.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Article
  15. Clinical Spectrum of Drug-Induced Movement Disorders: A Study of 97 Patients.Tremor and other hyperkinetic movements (New York, N.Y.) · 2020
    Article
  16. Article
  17. Article
  18. Review
  19. Movement disorders in emergency settings: a prospective study.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2019
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

John C MorganMovement Disorders Program Parkinson's Foundation Center of Excellence, Department of Neurology, Medical College of Georgia, Augusta, GA, USA.
Julie A KurekMovement Disorders Program Parkinson's Foundation Center of Excellence, Department of Neurology, Medical College of Georgia, Augusta, GA, USA.
Jennie L DavisMovement Disorders Program Parkinson's Foundation Center of Excellence, Department of Neurology, Medical College of Georgia, Augusta, GA, USA.
Kapil D SethiMovement Disorders Program Parkinson's Foundation Center of Excellence, Department of Neurology, Medical College of Georgia, Augusta, GA, USA.
Augusta University · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Medication-induced tremor (MIT) is common in clinical practice and there are many medications/drugs that can cause or exacerbate tremors. MIT typically occurs by enhancement of physiological tremor (EPT), but not all drugs cause tremor in this way. In this manuscript, we review how some common examples of MIT have informed us about the pathophysiology of tremor. Methods: We performed a PubMed literature search for published articles dealing with MIT and attempted to identify articles that especially dealt with the medication's mechanism of inducing tremor. Results: There is a paucity of literature that deals with the mechanisms of MIT, with most manuscripts only describing the frequency and clinical settings where MIT is observed. That being said, MIT emanates from multiple mechanisms depending on the drug and it often takes an individualized approach to manage MIT in a given patient. Discussion: MIT has provided some insight into the mechanisms of tremors we see in clinical practice. The exact mechanism of MIT is unknown for most medications that cause tremor, but it is assumed that in most cases physiological tremor is influenced by these medications. Some medications (epinephrine) that cause EPT likely lead to tremor by peripheral mechanisms in the muscle (β-adrenergic agonists), but others may influence the central component (amitriptyline). Other drugs can cause tremor, presumably by blockade of dopamine receptors in the basal ganglia (dopamine-blocking agents), by secondary effects such as causing hyperthyroidism (amiodarone), or by other mechanisms. We will attempt to discuss what is known and unknown about the pathophysiology of the most common MITs.

Indexed as

AnimalsHumansSubstance-Related DisordersTremordrug-induced tremorMedication-induced tremorpathophysiology

Identifiers

PMID29204312
PMCPMC5712675
OpenAlexW2770933347

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.