Tremor in peripheral neuropathy

Tremor is an unusual symptom in peripheral neuropathy, but it has been described in a significant proportion of patients with chronic relapsing inflammatory neuropathy, hereditary motor and sensory neuropathy (HMSN) and benign IgM paraproteinaemic neuropathy. It has also been reported in a few cases of neuropathy caused by diabetes, uraemia or porphyria (Ridley, 1969; Said et al., 1982) and is sometimes found in the recovery stages of the Guillain-Barre-Strohl syndrome. Tremor should be distinguished from other movement disorders found in neuropathies, such as sensory ataxia, choreiform movements or pseudoathetosis.