Evidence map›Paper›PMID 41591552›Full record

ArticleJournal of neurology2026

Orthostatic tremor and its subtypes: a single centre cohort of 74 patients.

Aaron Jesuthasan, Solomiia Bandrivska, Lesly Alejandra Colmenares, Leah Jones, Peter G Bain, Yen F Tai

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Article in Journal of neurology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0citing papers in PubMed
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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Aaron Jesuthasan *Department of Neurosciences, Imperial College Healthcare NHS Trust, London, UK. a.jesuthasan@nhs.net.ORCID http://orcid.org/0000-0002-7699-8853
Solomiia Bandrivska *Department of Neurosciences, Imperial College Healthcare NHS Trust, London, UK.
Lesly Alejandra ColmenaresDepartment of Neurosciences, Imperial College Healthcare NHS Trust, London, UK.
Leah JonesNHS Lothian, Edinburgh, UK.
Peter G Bain *Department of Neurosciences, Imperial College Healthcare NHS Trust, London, UK.
Yen F Tai *Department of Neurosciences, Imperial College Healthcare NHS Trust, London, UK.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundOrthostatic tremor (OT) is a rare, heterogenous disorder, recently sub-classified into primary OT (isolated 13-18 Hz tremor), OT-plus (OT with additional neurological features) and pseudo-OT (OT with frequencies < 13 Hz). However, to our knowledge no study to date has compared clinical characteristics between all three subgroups.

objectivesWe aim to further define and compare the clinical characteristics of the three different OT subgroups, utilising one of the largest described single centre cohorts to date.

methodsA retrospective analysis was undertaken of clinical records from 74 OT patients at Charing Cross Hospital between 1999 and 2023, enabling categorisation into subgroups. Clinical characteristics, including treatment efficacy and overall disability, were subsequently described and compared between subgroups.

results61 primary OT, 5 OT-plus and 8 pseudo-OT patients were identified. Baseline demographics were comparable between subgroups. Logistic regression suggested age of onset (OR = 1.02, p = 0.229), symptom duration (OR = 1.05, p = 0.083), tremor frequency (OR = 1.02, p = 0.826) and subgroup (OT-plus (OR = 1.86, p = 0.565) and pseudo-OT (OR = 1.41, p = 0.683)) were not significant predictors of disability. Treatment response varied between subgroup, with primary OT and pseudo-OT patients more frequently reporting symptomatic improvement with clonazepam, gabapentin and/or alprazolam than OT-plus patients.

conclusionsWe provide further insight into the clinical phenotypes of the OT subgroups and encourage future studies to validate these findings with larger sample sizes and establish reliable tools to measure OT severity to better assess disease progression and treatment response.

Indexed as

DizzinessTremorAdultAgedCohort StudiesFemaleGabapentinHumansMaleMiddle AgedRetrospective StudiesGabapentinMovement disordersOrthostatic tremorOT-plusPseudo-OT

Identifiers

PMID41591552
PMCPMC12847164

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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.