Evidence map›Paper›PMID 38386485›Full record

ArticleMovement disorders clinical practice2024

A Case Series of Isolated Smiling Tremor: What Is the Phenomenology?

Sara Radmard, Christian Johannes Amlang, Louis Weimer, Seth L Pullman

Open access · bronzeAbstract readCase Reports
In one paragraph

Article in Movement disorders clinical practice, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.6field-weighted citation impact, top 28% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 3 citations in OpenAlex.

  1. Smiling Tremor in a Patient with Essential Tremor.Movement disorders clinical practice · 2026
    Article
  2. Just smile or not? A case of isolated smiling tremor.Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology · 2025
    Article
  3. Primary Cueing Tremor: A Task-Specific Tremor of Billiard Players.Tremor and other hyperkinetic movements (New York, N.Y.) · 2025
    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 2 institutions in 1 country.

Sara RadmardDepartment of Neurology, Division of Movement Disorders, Albany Medical Center, Albany, New York, USA.ORCID 0000-0002-9275-5341
Christian Johannes AmlangDepartment of Neurology, Division of Movement Disorders, Columbia University Irving Medical Center, New York City, New York, USA.
Louis WeimerDepartment of Neurology, Division of Neuromuscular, Columbia University Irving Medical Center, New York City, New York, USA.
Seth L PullmanDepartment of Neurology, Division of Movement Disorders, Columbia University Irving Medical Center, New York City, New York, USA.
Columbia University Irving Medical Center · USAlbany Medical Center Hospital · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundFive cases of tremor only upon smiling have been reported where no facial tremor is present at rest, when talking, or with full smile. CASES: This report highlights four cases of tremor upon partial smiling, discusses the phenomenology of smiling tremor, and reviews the current literature. Four subjects with lower facial tremor present only upon smiling underwent movement disorders evaluation with video. Tremor frequencies were determined by parsing the video clips into 1-second intervals and averaging the number of oscillations per interval and were determined to be high-frequency 8 to 10 Hz irregular facial tremors with harmonic variations upon moderate effort in all cases. Slight or full-effort smiling did not elicit facial muscle oscillations. Subjects had no other signs of tremor, dystonia, or parkinsonism on examination or in family history.

conclusionsTremor upon smiling only, or isolated smiling tremor, is a unique task- and position-specific tremor of the facial musculature.

Indexed as

Movement DisordersSmilingFacial ExpressionFacial MusclesHumansTremordystonic tremorfacial tremorsmiling tremor

Identifiers

PMID38386485
PMCPMC10883399
OpenAlexW4388999436

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.