ABSTRACT

I. Neuropathology 67

II. Neurochemistry 70

A. Proteins 70

B. Amino Acids 71

C. Adrenergic System and Catecholamines 71

D. GABA 72

E. Adenosine 73

III. Conclusions 73

References 74

I. NEUROPATHOLOGY

Essential tremor is the most common pathological tremor in humans (1) and is

estimated to be 10-20 times as common as Parkinson’s disease (2). Yet, the scien-

tific information on essential tremor is only a small fraction of the Parkinson’s

disease literature. Essential tremor is regarded as a dysfunction within the

central nervous system (CNS), but the site and nature of the pathological

process remain unknown. Pathological studies of essential tremor are scarce.

To date, there are ,50 essential tremor patients who have had detailed neuropathological studies (3). Routine neuropathological studies have thus far failed

to identify specific anatomical sites or pathological processes characteristic of

essential tremor.