How can I tell the difference between essential tremor and Parkinson s?

Essential tremor.

The difference between tremor and Parkinson's disease tremor: 1 Essential tremor is also called essential tremor, and the form of tremor is a postural tremor or action tremor, and postural tremor is the kind of tremor that occurs when holding chopsticks or holding a cup or bowl. 2 Parkinson's tremor is also more distinctive, it is a resting tremor, which is mainly manifested in the state of complete relaxation, and this regular tremor appears.

Parkinson's patients do not say that there is only resting tremor, and some Parkinson's patients will also experience postural tremor, essential tremor or essential tremor. It is necessary to have a specialist to identify, and the most important differentiating point is that in addition to resting tremor, Parkinson's patients also have bradykinesia, muscle rigidity, and postural balance disorders. This is a very fundamental way to identify.

In addition, the overall course of essential tremor is benign and may range from the 50s to the 80s.

Essential tremor and Parkinson's disease differ in pathogenesis, clinical manifestations, and disease.

1.Pathogenesis: The pathogenesis of essential tremor is currently unclear, and may be caused by abnormalities in the reticular structure or nuclei in the central nervous system**, but the exact pacemaker location is still unclear, and the main pathological changes of Parkinson's disease are movement disorders caused by the degeneration and death of dopaminergic neurons in the substantia nigra.

2.Clinical symptoms: Essential tremor is characterized by tremor as the only clinical symptom, which is manifested as postural or motor tremor, mostly in the upper limbs, and tremor may be present in the head, rarely in the lower limbs, without any other neurological symptoms and signs.

Parkinson's disease is characterized by resting tremor, muscle rigidity, bradykinesia, and postural disorders, and the progression of dyskinesia usually begins in one upper limb, gradually affects the ipsilateral lower extremity, and then spreads to the n-like progression of the contralateral upper and lower extremities.

3.**: Essential tremor is mainly treated with adrenergic blockers, primidone, topiramate and other tremor symptom improvement drugs**.

Parkinson's drugs** include drugs that delay the course and symptoms of the disease**, monoamine oxidase type B inhibitors can delay the use of levodopa and delay the progression of the course of the disease, and anticholinergic drugs, levodopa, DR agonists, etc. can relieve the clinical symptoms of patients.

Essential tremor, also known as essential tremor, is mainly manifested by tremor, which generally has a family history of 1 3 patients and can occur at any age, mainly postural tremor or action tremor. Parkinson's disease, on the other hand, is mainly resting tremor, but it is also accompanied by bradykinesia, mask face, muscle rigidity, and abnormal posture and gait. Essential tremor usually lessens after drinking, and can be exacerbated by agitation or fatigue, and can be exacerbated by cold.

Parkinson's disease does not have these features.

Essential tremor is a generalized convulsion at the onset of the disease, and Parkinson's is a local tremor, and it is a frequent tremor, so essential tremor and Parkinson's are different.

Parkinson's disease is a neurodegenerative disease that is common in middle-aged and elderly people, and the clinical manifestations include muscle rigidity, bradykinesia, and abnormal posture and gait in addition to resting tremor. Clinical symptoms are mainly postural and action tremors, which tend to occur in one or both upper limbs, often with the head also affected, and less often in the lower extremities. Tremor is the only clinical symptom, and there are no neurologic positive signs other than tremor.

Exercise can help relieve the symptoms of Parkinson's disease, improve exercise ability, and prevent cognitive decline. Common forms of exercise include aerobic exercise, strength training, and flexibility exercises. Aerobic exercise is mainly to improve and enhance the body's aerobic activity capacity, such sports include walking, jogging, cycling.

Calisthenics, etc. Strength training is a movement that focuses on strengthening strength and toning the body, such as strength exercises using weight-bearing methods such as dumbbells and elastic bands or resistance methods. Flexibility exercises are mainly exercises that stretch muscles and ligaments, and are accompanied by exercises that adjust the rhythm of breathing, such as yoga, tai chi, health exercises, etc.

This form of exercise is mainly composed of stretching and balance exercises.

The difference between essential tremor and Parkinson's must be distinguished by an experienced doctor. Because Parkinson's disease is diagnosed by experience, not by MRI or CT, it is mainly diagnosed by clinical symptoms and the experience of doctors. In particular, early Parkinson's disease is difficult to diagnose, so it is difficult to distinguish from essential tremor, so the two diseases must be differentiated, and if you look closely, you can still be screened.

1 3 patients have a family history of essential tremor, and essential tremor has only symptoms, and the core symptom is tremor, but essential tremor has characteristics that are different from Parkinson's disease. Essential tremor is tremor that begins to tremble when you are active, or when you want to hold something or make a movement, but does not tremble when you are quiet. In addition to tremor, Parkinson's disease also has muscle rigidity, bradykinesia, and posture disorders, and the patient's face is a mask face, which is relatively stiff, and there will be special signs, such as forward bending, small broken steps, and difficulty turning, and the patient's feet seem to be stuck in the middle and advanced stages, which is called sticky gait.

Essential tremor is a benign disease, although it has an insidious onset and progresses slowly, which is common to Parkinson's disease, but there are differences. Because the prognosis for essential tremor is relatively good, there is no particularly serious damage. The prognosis is better than that of Parkinson's disease, and it is better to distinguish that it will be much better if you drink a sip of liquor, and the drugs you take are also different from the drugs for Parkinson's disease, because the pathogenesis, clinical manifestations, and pathophysiological mechanisms are different, so the drugs taken for essential tremor are completely different from the Parkinson's drugs.

At present, PET-CT can detect the early stage of Parkinson's disease at the biochemical level, theoretically or practically, and in the earliest stage of Parkinson's disease, it will show olfactory disturbances. Therefore, essential tremor and Parkinson's disease are easy to distinguish. However, PET-CT has disadvantages, because it is very expensive to do it once, about 10,000 yuan, so early patients can pay attention to it, if the nose starts to be bad, and the smell is not too sensitive, they should go to the hospital to seek medical treatment earlier.

The characteristics of Parkinson's disease tremor are mainly judged from three aspects:

1. Resting, the patient tremors in the resting state and when the muscles are relaxed, such as the muscles tremor after falling asleep or relaxing, biased towards Parkinson's tremor;

2. Tremor frequency, if there is an analyzer, the frequency can be analyzed, the frequency of resting tremor in Parkinson's disease is 4-6Hz s; If the patient has a frequency of 4 Hz S or 6 Hz Seconds, it may not be Parkinson's disease tremor;

3. The tremor is characterized by pill-rubbing performance.

If these three characteristics are present, the patient may be more inclined to the diagnosis of Parkinson's disease due to the fact that the patient has sluggishness and stiffness.

Essential tremor is a disease in which tremor is the main manifestation, and patients do not have symptoms such as decreased movement, expressionlessness, and stiffness of limbs, and the symptoms are milder and less severe than Parkinson's disease. Secondly, the tremor of patients with essential tremor is active postural tremor or action tremor, that is, the tremor occurs when moving or holding the position, and the tremor decreases or even disappears when the tremor is kept quiet, such as watching TV, staying still, or sleeping. The tremor of patients with Parkinson's disease is static, that is, when sitting still and quiet, the hands begin to shake incessantly, and the symptoms of rubbing pills or counting money appear.

So the difference between Parkinson's disease and essential tremor is obvious. If essential tremor is diagnosed, it is much milder than Parkinson's disease, and if it does not affect the patient's life, there is no need to take medicine. Even if essential tremor develops to a more severe condition, that is, it affects the movement of the patient's hand, the tremor is more obvious, and there will be no obvious impact on the life of patients with Parkinson's disease, or even a decrease in the quality of life.

Essential tremor is relatively benign and progressive.