Essential tremors mimicking as dysgraphia.

A 13 years male was referred to the Learning Disability Clinic with the complaint of illegible handwriting, dropping academic grades with a possibility of dysgraphia. The handwriting fluency and legibility deteriorated in time controlled situations such as examinations. He was slow in copying but had no issues with concentration, retrieval and had a good memory. Family history of tremors in father was positive. Examination was normal except for tremors aggravated on anti-gravity posture. Detailed exam of the motor, sensory, cerebellar system was normal. The thyroid profile, serum ceruloplasmin, MRI brain were normal. Weschler Intelligence Scale for Children (WISC -R) revealed a superior intellect Full Scale IQ (FSIQ) –110.