What is the difference between essential tremor and Parkinson s?

Essential tremor is distinguished from Parkinson's disease in that the former has a pronounced persistent tremor of the hands and forearms, manifested as a postural tremor, or an animal-like tremor, without other neurologic signs. General medical history of more than three years, with a family history.

Essential tremor is a type of motor tremor, which may be caused by genetic reasons, or it may be caused by degenerative changes in brain neurons, which needs to be carried out with the doctor's medication**, and to improve bad lifestyle habits. Parkinson's disease is a neurodegenerative disease.

The difference between essential tremor and Parkinson's is that the causes and symptoms are different, sudden tremor is generally caused by abnormal discharge of neurotransmitters, and Parkinson's disease is caused by degenerative changes in the brain nervous system. However, both diseases will cause some movement disorders, so it is necessary to improve bad lifestyle habits in daily life and not eat foods high in cholesterol.

The main difference is that normal patients may experience things like head tremors, mainly postural tremors, and generally symptoms become severe when concentrating, etc. Parkinson's disease generally causes bradykinesia and other conditions, and most patients will have unilateral limb tremor in the early stage of the disease, and as the disease progresses, it may develop into bilimb tremor.

How can you tell the difference between Parkinson's disease and essential tremor?

For Parkinson's disease and essential tremor, the difference between the two can be roughly distinguished from the following three points.

First of all, for Parkinson's disease, generally speaking, tremor occurs in a resting state or a quiet state, while essential tremor is the opposite, tremor occurs in an active state, especially when the symptoms are in a state of hunger, and in addition, some patients will have relatively less tremor symptoms after drinking.

Secondly, for Parkinson's disease, in addition to tremor of the hands and feet, there may be symptoms such as slowing and decreasing movements, and stiffness of the body, while essential tremor will not have any changes in other motor functions except tremor, and you can move freely.

In addition, compared with Parkinson's disease, the history of essential tremor will be relatively long, and the onset process is relatively slow, and about 6 to 7 percent of essential tremor patients have a family history of tremor.

From the above three points, a distinction can be made between Parkinson's disease and essential tremor.

Some people may feel that they do not have tremors in their hands and feet, and they may not think in the direction that they may be Parkinson's disease, but Parkinson's is not only a symptom of tremors in the hands and feet, and tremors in the hands and feet are not the only symptoms of Parkinson's disease, according to relevant data, at least two to three percent of Parkinson's patients will not have tremors in the hands and feet or frontal tremors. For example, the uncle and aunt in the case cited above are actually such examples, both of which have Parkinson's disease with symptoms such as slow movement and stiffness.

All in all, not all tremors of the hands and feet are Parkinson's disease, but it does not mean that the absence of tremors of the hands and feet is not Parkinson's disease, and the diagnosis should be made according to the individual situation and clinical symptoms of each patient.

Essential tremor and Parkinson's disease are two completely different diseases, and the difference is that:

1. Pathogenesis: The pathogenesis of essential tremor is currently unknown; The pathogenesis of Parkinson's disease is related to dopamine deficiency in the substantia nigra of the midbrain;

2. Clinical manifestations: essential tremor is mainly manifested as postural tremor and action tremor; Parkinson's disease presents with resting tremors, stiffness, and slowness.

First of all, the first point is essential tremor. It's just a simple tremor, and it doesn't have little movement like Parkinson's disease. We talked about the first point that bradykinesis can lead to unstable posture and gait and increased muscle tone.

The second point is that in patients with essential tremor, the characteristics of tremor I talked about earlier are a kind of action tremor. Parkinson's patients may also have action tremor. However, the tremor in Parkinson's patients is predominantly a resting tremor.

What is a resting tremor, when I am quiet, just like I put my hand on the table now, very quiet and shivering, this is the characteristic of Parkinson's tremor. So that's the second feature different. The third difference is that Parkinson's patients are often accompanied by some non-motor symptoms.

For example, patients may have a decreased sense of smell, yelling at night, poor sleep, emotional depression, anxiety, and fatigue. This is often rare in patients with essential tremor. The fourth point is to tell you through some details through this tremor.

Let me teach you a small trick, in addition to the tremor of the limbs, patients with severe essential tremor often have this kind of joint tremor at the distal end. But the patient of Parkinson's disease, he is just a simple, distal limb tremor, it does not affect the foot joint, shoulder joint, this is the fourth point. In fact, there is a small trick, and the fifth point is how we can identify patients with essential tremor.

I just talked about an action tremor that the patient has as soon as he lifts his hand. Some of our terminology is called no incubation period, Parkinson's patients let go of the hand tremor, when the hand is raised, it does not tremble, and it takes a few seconds for it to tremble. We call it tremor recurrence.

This is a tremor characteristic of Parkinson's patients, don't underestimate this small skill, not only does not cost you money, but also can make a powerful diagnosis of this disease at an early stage.

Parkinson's is a more severe disease in the brain than essential tremor.

1. Pathogenesis: The pathogenesis of essential tremor is currently unknown; The pathogenesis of Parkinson's disease is related to dopamine deficiency in the substantia nigra of the midbrain;

2. Clinical manifestations: essential tremor is mainly manifested as postural tremor and action tremor; Parkinson's disease presents as a resting earthquake.

Parkinson's disease, also known as parkinsonism, is a common neurodegenerative disease in middle-aged and elderly people, and its clinical manifestations are mainly resting tremor, muscle rigidity, bradykinesia and abnormal posture and gait. In the late stage, depression, anxiety, sleep disorders, constipation and other symptoms and fibrility can also appear. This disease belongs to the categories of "tremor syndrome", "tremor" and "shake off" in the medicine of the motherland. Parkinson's disease is especially common in the elderly, and the pathological nature is the deficiency of the liver and kidney, the deficiency of the spleen, stomach, qi and blood, and the evil of wind, fire, phlegm, and stasis.

The basic pathological factors are wind, fire, phlegm, stasis and deficiency, and the five affect each other and even imitate each other.

Depending on the severity of Parkinson's disease, it should be staged**. In the early stage, we should start with the spleen and kidney, take the spleen and phlegm as the first, calm the liver and calm the wind, and treat the root cause by strengthening the spleen and invigorating qi; In the middle stage, it is characterized by the good movement of internal wind and the goodness of stubborn phlegm, ** when the phlegm is removed and stasis is removed to treat the symptoms, the liver and kidney are nourished to treat the root cause, and according to the condition, the liver is calmed and the wind is calmed, the yin is nourished and the yang is nurtured, and the blood is softened and the liver is softened; If the medium-term wind syndrome is mild, pay attention to regulating qi and activating blood; In the later stage, the liver, spleen, and kidney are treated simultaneously, and special attention is paid to the deficiency of kidney essence.

Parkinson's and essential tremor are both chronic movement disorders, but they vary in clinical presentation and examination.

Parkinson's is caused by dopaminergic neuronal lesions in the substantia nigra, which generally has more unilateral onset, mainly resting tremor, generally accompanied by symptoms such as hyposmia, muscle rigidity, gait abnormality, stiff movements, etc., and patients will have frequent urination, constipation, anxiety, depression, abdominal distention, chest tightness, etc., and the frequency of tremor is 4-7Hz according to electromyography. Patients with essential tremor generally have the onset of both upper limbs, and various forms of tremor such as activity tremor and postural tremor coexist, and there is generally no muscle rigidity and motor stiffness. There is generally no change in gait.

On the side of electromyography, the tremor frequency is 4-12 Hz.

The main symptoms of Parkinson's disease and essential tremor are both body tremors, which are similar, but they are actually two different diseases. Tremor is the only symptom of essential tremor, while Parkinson's disease has other symptoms besides tremor, such as abnormal posture of the whole body, slow speed of movement, so-called bradykinesia, stiff facial expression, i.e., mask face, and stiff limb muscles.

Essential tremor and Parkinson's disease are two completely different diseases, and the difference is that:

1. Pathogenesis: The pathogenesis of essential tremor is currently unknown; The pathogenesis of Parkinson's disease is related to dopamine deficiency in the substantia nigra of the midbrain; 2. Clinical manifestations: essential tremor is mainly manifested as postural tremor and action tremor; Parkinson's disease presents with resting tremors, stiffness, and slowness.

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.