What is the difference between essential tremor and Parkinson s disease?

Parkinson's disease is a degenerative disease of the central nervous system that occurs in middle age and above, mainly in the substantia nigra and striatum of the brain. The pathophysiological changes are dopaminergic neuronal degeneration in the substantia nigra, which leads to dopamine deficiency in the brain, causing a series of pathophysiological changes, among which the hyperexcitability of the subthalamic nucleus and the medial globus pallidus is an important feature of Parkinson's disease. If Parkinson's disease is not detected early, the condition will further deteriorate, and even lead to the loss of labor force and the inability to take care of oneself, while essential tremor is a movement disorder with tremor as the only manifestation, mainly manifested as hand or head action and postural tremor, aggravated when nervous, not accompanied by muscle stiffness and slowness.

Because essential tremor and Parkinson's disease are not well understood, they can be confusing.

Characteristics of essential tremor: 1. 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. 2. Essential tremor can be relieved 2-4 hours after drinking, but the symptoms are more severe the next day; 3. Essential tremor often has voice tremor, but no voice decline; 4. It is effective to take propranolol, primidone and diazepam**; 5. Taking levodopa, medopa and other drugs is ineffective.

Tremor characteristics of Parkinson's disease: Tremor in Parkinson's disease is a resting tremor that is not evident during active movement. It usually starts at the distal end (finger) of one upper limb and gradually extends to the ipsilateral lower limb and the contralateral upper and lower limb.

The jaw, lips, tongue, and head are usually the last to be affected. The tremor is coarse, with a frequency of 4 8 seconds (4 8 Hz), which can be temporarily controlled but not persistent, aggravated by agitation and fatigue, and disappeared during sleep.

The above is an introduction to the difference between essential tremor and Parkinson's characteristics, and experts emphasize: essential tremor, also known as familial tremor. Due to the lack of understanding of essential tremor, the clinical diagnosis rate of essential tremor is not high, and some middle-aged and elderly people with essential tremor are worried that they have Parkinson's disease, whether they have essential tremor or Parkinson's disease, and need to be carefully examined by professional doctors to distinguish it.

The tremor of Parkinson's disease tends to occur in the hands, lower limbs, and trunk, while essential tremor is mainly found in the hands, head, jaw, and tongue, and is rarely found in the lower parts.

Parkinson's also shivers at rest.

Essential tremor does not shake when at rest, and Parkinson's also shakes when at rest.

Essential tremor: a disease that will shake when nervous, excited, carrying, fatigue and hunger, mainly postural and motor tremor of the hands, head and other parts of the body, and will not shake when resting at rest. Although drinking alcohol can make the shaking disappear temporarily, this is only the effect of anesthesia and will worsen the next day, so try to drink as little as possible.

Parkinson's: nervous, agitated, shaking at rest, mainly manifested by bradykinesia, muscle rigidity, and postural gait disorders. A disease that can alleviate or stop shaking when exercised properly.

The typical complaint of the patient is: "One of my hands shakes a lot, and the more I don't move, the more I shake it, and I don't shake when I work and pick up things." I also tremble badly when I meet a living person or when I am excited, and I don't shake when I fall asleep. ”

Essential tremor is okay, I'm afraid it really can't.

The specific difference is that it is not the same from speaking to walking.

One will shake only when it is certain situations, and the other will shake when it is stationary.

Essential tremor and Parkinson's are common for shaking**, but in addition, neuropathy of the brain or other brain lesions are also possible, and patients are generally given relevant examinations to rule out some other brain lesions.

There must be a difference, the difference is too big.

Essential tremor and Parkinson's are common** for shaking, but other than that.

Essential tremor is an action tremor Parkinson's is a resting tremor.

Symptoms vary from Parkinson's to the point where you can't**.

Essential tremor is a shaking that occurs under certain circumstances, and Parkinson's is shaking at any time.

The shaking of Parkinson's disease is a resting tremor, that is, when you are completely relaxed, you will have a tremor when you put your hands on the table, this tremor is called resting tremor, and most people in Parkinson's disease have appeared. Most people with Parkinson's tremor sometimes affect the feet in addition to the hands. However, essential tremor is different from Parkinson's, its tremor is called action tremor, that is, it may not be seen when you are relaxed, like a normal person, but when you do fine movements including holding a cup and writing, you can see obvious hand tremor, and the tremor is basically concentrated in the upper limbs or head, and generally does not involve the legs and lower limbs, so Parkinson's disease is still significantly different from essential tremor.

In addition, there is a certain difference between the two, Parkinson's disease is to take levodopa drugs, and the tremor will be reduced in the future, while essential tremor needs to take receptor blockers, such as propranolol, Almar and other drugs will be reduced, so the reaction to the drug is different.

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 and Parkinson's disease are both relatively common neurological disorders that occur in older people. Both conditions cause hand tremors, and many people can't tell the difference between the two conditions, and people with essential tremor often mistake them for Parkinson's disease and worry about it. So, what is the difference between essential tremor and Parkinson's disease?

Let's distinguish these two diseases from 4 aspects.

1. The concept is different. Essential tremor is a genetic disorder in which tremor is the only manifestation and can progress to Parkinson's disease. Parkinson's disease is a degenerative condition of the nervous system in old age, also known as parkinsonism.

2. **Different. Essential tremor is caused by genetic factors, and many patients have a family history of the disease. Parkinson's disease may be associated with the degeneration and death of dopaminergic neurons in the substantia nigra, but the exact form of the genre is unknown.

3. The symptoms are different. Essential tremor has only tremor symptoms, mainly postural tremor. It usually starts with the hands and then affects the head and neck, voice, legs, etc.

Tremor affects the flexor and extensor muscles of the limb and is more pronounced when the patient does certain delicate activities. As the disease progresses, the frequency of tremors decreases, but the dysfunction is obvious, affecting daily life. The main manifestations of Parkinson's disease include resting tremor, muscle rigidity, and bradykinesia.

Patients may also have non-motor symptoms such as sensory disturbances, sleep disturbances, and psychiatric disorders.

4. **Different. Essential tremor** is divided into two methods: medication and surgery**, and is not required for patients with milder disease**. In order to reduce the impact of symptoms on life, patients can usually take medications, usually with propranolol, premidone, etc.

Parkinson's disease is dominated by medications, which aim to improve symptoms and improve quality of life. However, drugs can only delay the lesion, not the disease. To delay the disease, patients also need to pay attention to daily conditioning, pay more attention to nutritional intake, and maintain daily exercise to improve muscle function.

Essential tremor, generally speaking, is more common in young people, people around the age of 20-40 have hand tremor when the hands are raised, or when holding objects, such as when holding chopsticks to pick up something, or the tremor that shakes closer to the mouth, this is called postural tremor or intention tremor. About 70% of essential tremors have a family history, both parents and possibly children. Generally speaking, it does not affect the patient's life, and it is not necessary to do so without increased muscle tone and without affecting the patient's life.

Parkinson's tremor is a resting tremor, a tremor that occurs when the hand is not moving. Its typical tremor is a pill-rubbing motion, with a pill-like motion between the straight thumb and the bent index finger, 4-6 times per second. Parkinson's tremor appears when you are resting, lessens when you are active, and disappears when you are asleep.

Parkinson's is more common in people over the age of 40-50, and its core symptom is slow movement and inability to think fast. Once it appears, it will affect the patient's life and work, so Parkinson's disease should still be given early.

Hello! In both cases, there is a tremor that is the only symptom of essential tremor, while Parkinson's disease has a number of other symptoms besides tremor. The tremor site is also 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.

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.