000 02760nam a22003977a 4500
008 210607s20202020 xxu||||| |||| 00| 0 eng d
022 _a1353-8020
024 _a10.1016/j.parkreldis.2020.10.035 [doi]
024 _aS1353-8020(20)30828-2 [pii]
040 _aOvid MEDLINE(R)
099 _a33120070
245 _aEssential tremor: Is the word "essential" really essential?.
251 _aParkinsonism & Related Disorders. 81:103-105, 2020 12.
252 _aParkinsonism Relat Disord. 81:103-105, 2020 12.
252 _zParkinsonism Relat Disord. 81:103-105, 2020 12.
253 _aParkinsonism & related disorders
260 _c2020
260 _fFY2021
265 _sppublish
266 _d2020-12-29
268 _aParkinsonism & Related Disorders. 81:103-105, 2020 12.
269 _fFY2021
520 _aEssential tremor (ET) is among the common movement disorders. A surge in research in recent years has considerably improved our understanding of disease etiology and pathogenesis, and its associated clinical phenomenology and natural history. With this progress have emerged a multitude of new questions and conundrums and newly proposed terminologies. Amidst these various related discussions, it is worth revisiting the essence of the nomenclature, "essential tremor", to assess how well it continues to fit the growing understanding of this entity. Here we revisit the historical underpinnings of the nomenclature, its accuracy, pitfalls of eliminating the word, and advantages of removing the word. There are two primary historical bases for using the word "essential": (i) idiopathic or unclear etiology, (ii) a unitary (single-featured) trait perceived as a constitutional feature. Numerous studies indicate that ET is neither truly idiopathic nor is fully isolated, making the use of "essential" technically incorrect. There are pitfalls and advantages of eliminating the term "essential" and both are succinctly described in this article. Yet in the absence of any flawless alternatives at present, we conclude that it is preferable for now to persist with "essential" tremor, thereby respecting the historical continuity of this one-and-a-half-century old nomenclature. Copyright (c) 2020 Elsevier Ltd. All rights reserved.
546 _aEnglish
650 _a*Essential Tremor
650 _a*Terminology as Topic
650 _aHumans
651 _aMedStar Washington Hospital Center
656 _aNeurology Residency
657 _aJournal Article
657 _aResearch Support, N.I.H., Extramural
700 _aLenka, Abhishek
790 _aLenka A, Louis ED
856 _uhttps://dx.doi.org/10.1016/j.parkreldis.2020.10.035
_zhttps://dx.doi.org/10.1016/j.parkreldis.2020.10.035
942 _cART
_dArticle
999 _c5839
_d5839