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The only symptom of essential tremor is tremor, and some patients with essential tremor have been reported to have abnormalities in intonation and gait. Patients usually start with the upper extremities and mainly affect the upper limbs, but can also affect the head, legs, trunk, voice, and facial muscles. Presents with postural tremor and may contain both motor, intentional, or resting tremor components.
Essential tremor, also known as familial or benign essential tremor, is an autosomal dominant genetic disease, according to incomplete statistics, there is about 60% of the genetic rate, the reason why it is called is because the initial symptoms of essential tremor are mostly manifested as slight hand tremor (almost imperceptible), it is a slow progressive disease, some patients will not be particularly bad for 10-20 years, and some patients will seriously affect their life and work after 3-4 years of hand tremor.
Typical essential tremor can be found in children, adolescents, middle-aged and elderly people, and it is believed that the distribution of the age of onset is a bimodal characteristic, that is, in the two age groups of 20 to 30 years and 50 to 60 years old, the probability of onset slowly increases with age.
Postural tremor is common in many movement disorders, including Parkinson's disease, and is even the only symptom in the early stages, with some patients developing postural tremor years later to develop Parkinson's disease, and the incidence of Parkinson's disease is higher in essential tremor, which may be in special populations.
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The harm of essential tremor in life is mainly manifested as postural tremor, which is an involuntary but rhythmic tremor of the limb muscles. Tremors usually begin in the upper extremities and may also affect the head, legs, trunk, voice, and facial muscles.
Essential tremor is usually a lifelong hazard that begins with symmetry on both sides, starting with the hands and affecting the head and neck, voice, legs, or trunk. Some patients begin with tremors in the head and neck, tongue, or voice, but rarely in the legs. If this makes it difficult to detect early.
The harm of essential tremor in life affects the flexor and extensor muscles of the limbs, and is dominated by rhythmic upward and downward vibration movements. The frequency and amplitude of tremor change, and its progression is very slow.
The dangers of essential tremor in life can be aggravated when performing certain delicate movements, such as holding a drinking glass, tying a shoelace, or holding a needle and thread. As the course of the disease increases, the frequency of tremor decreases and the amplitude increases, leading to more severe functional impairment, and patients often have difficulty controlling tremor, thus affecting work and daily life. Essential tremor reacts differently to alcohol, some patients can reduce tremor by ingesting a small amount of alcohol, but after 42% and 75% of patients drink alcohol, the tremor decreases for only 2 4 hours, and the tremor worsens the next day.
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Traditional Chinese medicine is called tremor syndrome. It is a very dangerous disease, not to mention the impact on life and work, the disease can also cause Parkinson's.
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Emotional tension and excitement, hunger and fatigue, tremor will be aggravated when doing fine movements, relieved or disappeared when calm, drinking alcohol can be temporarily relieved, and it is aggravated after drinking.
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Hand tremors are within the normal range when checked by Western medicine instruments, and there is no good way for Western medicine**. Only some drugs such as propranolol, primidone (primidone), tranquilizers, etc., can be used to control symptoms, but most of them have ***, and the drugs have a certain dependence. I often hear that this disease cannot be treated, because their attending doctor also said so, medicine is constantly developing, and most of the methods used by Western medicine are based on the model of "headache and foot pain", and cannot fundamentally treat the disease.
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The occurrence of essential tremor has caused many middle-aged and elderly friends to suffer from a variety of symptoms in their healthy lives. The family's former harmony and tranquility have also been destroyed. In this regard, we should fundamentally understand this disease and suppress its contagion.
We can identify essential tremor by its symptomatic manifestations and thus have a positive effect on it**. So, what are the symptoms that distinguish essential tremor?
1. Muscle stiffness: The limbs and body of patients with essential tremor usually become very stiff. The early stages of the lesion usually begin on one limb.
At the beginning, I feel that the movement of one limb is inflexible and stiff, and gradually worsens, and I have difficulty in moving slowly, and even do some daily life movements.
2. Resting tremor: tremor is often the earliest manifestation of the disease, usually starting from the distal end of the upper limb on one side, mainly the thumb, index finger and middle finger, which is manifested as the movement of the fingers as if they are rubbing balls or counting bills. It then gradually extends to the ipsilateral lower and contralateral limbs, and in the late stage may affect the jaw, lips, tongue, and head.
3. Slow movement: In the early stage, due to the rigidity of the upper arm muscles and finger muscles, the patient's upper limbs are often unable to make fine movements, such as untying shoelaces, buttoning and other actions become much slower than before, or can not be completed smoothly at all. Writing also gradually became difficult, the handwriting was crooked, and the writing became smaller and smaller.
4. Special posture: Although the patient's whole body muscles can be affected and the muscle tone increases, the flexor muscle tension is higher than that of the extensor muscle at rest, so the patient has special postures: head forward tilt, trunk slightly flexed, upper arm adduction, elbow joint flexion, wrist slightly extended, metacarpophedral joint flexion and interphalangeal joint straightened, thumb to palm, hip and knee joint slightly flexed.
The above is a detailed description of the symptoms of essential tremor. If the above phenomenon occurs, you must actively go to a regular hospital for it**. In order not to delay the best time for the disease and cause greater harm to the patient's health, it is necessary to detect essential tremor as early as possible.
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Diagnostic criteria: 1. The tremor lasts for at least several years, and the symptoms produce functional impairment 2. The presence of visible and persistent postural tremor, including movements of the hand or forearm with or without motor essential tremor. Essential tremor: Tremor in the upper extremities can be asymmetrical or symmetrical, and tremors can affect other parts of the body problem.
Exclusion Criteria: 1. History of trauma before the tremor began 2. Evidence of essential tremor on clinical recommendations 3. Tremor with sudden onset of phenomena 4. Physiological tremor of known cause that is stable 5. Concurrent or recent use of drugs that can produce tremor 6. Appearance of other neurological signs of initiation, but excluding cogwheel rigidity and essential tremor-related movements. Characteristic refers to the repetitive voluntary movements of the contralateral limb that induce cogwheel-like rigidity on the examined limb.
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Essential tremor is a movement disorder, including congenital family hereditary and acquired essential tremor caused by various factors, its symptoms are mainly involuntary shaking of hands, head and legs, especially when nervous excitement or concentration will be aggravated, aggravation of the condition will seriously affect daily life. Essential tremor, also known as familial tremor, is a common family history disorder, according to statistics, about 60% of patients have a family history.
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The diagnosis of essential tremor is generally based on the following evidence, and the typical symptoms of essential tremor appear, which are manifested as obvious and persistent tremors in the hands and forearms, mainly postural tremor and action tremor. In general, most are not accompanied by neurologic signs other than gear phenomena.
Some patients present with only head tremor but no dystonia. The disease usually lasts more than three years, there is a history of essential tremor similar to that of a family genetic member, and the tremor is lessened after alcohol consumption. In addition, it is necessary to rule out factors that cause physiologic hypertremor, drug-induced factors, a history of neurological trauma, and tremor due to psychological factors to confirm the diagnosis.
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It is worse with concentration, nervousness, fatigue, and hunger, and in most cases disappears temporarily after drinking alcohol and worsens the next day, which is also a clinical feature of essential tremor.
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How can I tell if I have essential tremor? In recent years, the incidence of many diseases has been increasing, and essential tremor is one of them. The symptoms are far-reaching and the consequences are severe.
However, many people do not understand the diagnosis method of essential tremor, do not know whether they have essential tremor and hesitate, and often miss the best period. So, how can you tell if you have essential tremor?
1. Essential tremor often has voice tremor, but no voice decline.
2. Inquire about the course of the disease, because the course of essential tremor progresses rapidly, while the course of essential tremor develops very slowly, and the condition does not change much in ten or twenty years.
3. CT or MRI examination of the brain should also be done to rule out some other organic lesions in the brain.
4. Patients with essential tremor have no motor loss, increased muscle tone and postural reflex disorders, no obstacles to voluntary joint movements and body posture and stability, and no dysmetria, ataxia and nystagmus.
5. Essential tremor can be relieved 2-4 hours after drinking, but the symptoms are more severe the next day.
6. Exclude other lesions. A neurological examination is done to detect other symptoms, and blood tests are taken if necessary to rule out other lesions. If tremor due to hyperthyroidism is ruled out, blood should be drawn for thyroxine testing; In younger patients, blood is drawn to test the absorbance of copper oxidase to rule out Wilson's disease.
Through the above introduction, I believe you have a certain understanding that the embankment of thousands of miles collapses in the anthill, and some inadvertent little things in life may cause very big adverse consequences. Everyone can take precautions on a daily basis. If you find any abnormalities in your body, please go to the hospital for examination as soon as possible, so as not to delay the condition of the patient, the patient must do a good job in postoperative care, pay attention to personal hygiene in daily life, and maintain a good living environment.
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Essential tremor refers to the uncontrollable tremor of the patient's body, which will also have a certain impact on the patient's life, so it is important to pay more attention to alleviate the disease. The cause of the disease may be caused by aging, family genetics, environmental factors, etc., so if you want to ** the disease, you must find the right one to control it.
The main manifestation of essential tremor is mainly tremor, which will cause tremors in the patient's hands in the early stage, and the early symptoms of this disease are similar to Parkinson's, and they are more likely to appear in middle-aged and elderly people. This sudden tremor is more likely to occur during activity, and the symptoms are relatively less severe after rest, and if not performed in time**, the tremor from the hand will gradually spread to the whole body.
Many patients choose drugs when they are a**: patients can take drugs such as primidone or arolol**. Primidone is a commonly used antiepileptic drug.
However, in the early stage of medication, there will be dizziness or nausea, vomiting, etc. However, many *** will reach tolerance after a few days of medication. In arolol, this reduces the amplitude of postural tremor as well as action tremor.
Adverse reactions include bradycardia or vertigo. Therefore, the changes in heart rhythm and blood pressure should be closely observed during the medication, and if the heart rhythm is less than 60 beats or there is significant hypotension, the dosage should be reduced. This kind of medicine can achieve a short-term control effect, if there is an emergency, you can take it urgently, it is not recommended to take this kind of western medicine for a long time.
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The tremor of this disease, which worsens with concentration, nervousness, fatigue, and hunger, and in most cases disappears temporarily after drinking alcohol and worsens the next day, which is also a clinical feature of essential tremor. Essential tremor** is unclear and can be confused with tremor produced by other disorders.
Essential tremor is a chronic movement disorder, which is mainly diagnosed by clinical features and long-term follow-up. It is generally characterized by progressive, action, or postural tremor in both upper extremities, and most patients do not have limb stiffness. If there is a loss of smell, abnormal sleep behavior, changes in the location, frequency, and form of tremors, it is necessary to be alert to the development of Parkinson's disease. >>>More
The diagnosis of essential tremor also requires the patient to go to the neurology department or functional neurosurgery department of a tertiary hospital under the evaluation of a specialist, and confirm whether it is essential tremor after a comprehensive assessment of physical examination, medical history, medication and instrument screening. second, whether nervousness, hunger, exertion, and tremors will worsen; Third, whether the hand tremors after drinking alcohol will be temporarily relieved and worsened the next day.
Essential tremor cannot be controlled, but can only be controlled. Patients with essential tremor can be treated with drugs**, such as propranol, sulephamam, clonidazepam and other drugs, but they can only control the symptoms, that is, reduce tremor and improve the quality of life, but it cannot reach the level of ** at present. And it is obvious that 60% of patients basically have a family history, that is, hereditary, and genetic diseases caused by genes are currently clearly unable to **. >>>More
Essential tremor should be treated with the following routines: >>>More