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Typical essential tremor can be found in children, adolescents, middle-aged and older adults, and is common in the general population and increases with age. The incidence increases in people over 40 years of age and in people over 65 years of age. There is no clear difference in incidence between men and women, and it has also been reported that in Sweden and Finland the incidence ratio of women to men suggests that essential tremor may be more common in left-handed people.
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Tremors of the hands, legs, heads, whole body, speech tremors, etc.
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Shaking of the hands, heads, and legs is uncommon.
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The main thing is that there is a tremor in an involuntary situation.
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The whole body shakes unconsciously.
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It's just that the tension and excitement will be aggravated.
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There will be several cases of shaking, such as hunger and fatigue, doing delicate work and shaking hands.
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The main thing is that the hands are shaking, the head is shaking
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Tremor is divided into resting and motor resting tremor: tremor occurs at rest, such as "pill-rubbing", seen in Parkinson's disease (Parkinson's) 2) Intention tremor: occurs during movement, the closer the purpose, the more obvious it is, seen in cerebellar lesions and essential tremor, also known as familial, hereditary benign tremor.
3) Asterixis: seen in the early stage of hepatic coma and chronic liver disease. (4) Senile tremor:
Presents with nodding or shaking of the head without increased muscle tone.
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In most patients, tremor is temporarily and significantly relieved by drinking a small amount of alcohol, but over time it may be necessary to drink more alcohol to achieve the same effect, and it is recommended that patients drink small amounts of alcohol before meals or before participating in social activities to reduce tremor.
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Early symptoms of tremor begin at the distal end of one upper limb, predominantly the thumb, index finger, and middle finger, as if the fingers are rubbing balls or counting bills, and then gradually extend to the ipsilateral lower limb and contralateral limb.
Late symptoms can spread to the jaw from the tongue and head, muscles are stiff, and the limbs and torso in patients with essential tremor usually become very stiff.
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Early symptoms of tremor begin in the distal upper extremity on one side, mainly the thumb, index and middle fingers. Late symptoms may spread from stiffness of the tongue and head muscles and essential tremor to the jaw.
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1. Tremor frequency: The tremor frequency of Parkinson's disease is mostly 4-8 seconds, which is generally slower and slightly larger than simple tremor, and faster than the frequency of action tremor and slightly smaller in amplitude. This feature can also help us distinguish from other diseases, such as those caused by chorea, cerebellar disease, and hyperthyroidism.
2. The impact of tremor on exercise: when the tremor is mild, it can not affect the motor function, or you can take care of yourself; As the disease progresses, tremor can affect some motor functions. For example, it is becoming more and more difficult to write, or even unable to write, and cannot take care of oneself.
3. Signs associated with tremor: tremor accompanied by increased muscle tone, more common in Parkinson's disease, "gear-like" rigidity can be found during examination, and it is easy to be found when the head and neck are extended and flexed, and the elbow and wrist joints are passively moved. This resting tremor is not accompanied by ataxia, and tendon reflexes may be unremarkable, nor pathologic reflexes or sensory disturbances.
4. Tremor is fluctuating: sometimes it is obvious, sometimes it is reduced or disappears. Nervousness, emotional agitation and tremor at the beginning of movement are obvious, relieved by voluntary movement, and disappear after sleep.
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I have seen a lot of patients with hand tremor and tremor, some of them have a particularly significant effect after taking traditional Chinese medicine, so how do we treat it, this should be your greatest concern, tremor patients have different ages, genders, physiques, and affected viscera, and their clinical manifestations are very different.
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1. The tremor frequency can be used to determine which disease causes the tremor. Tremor occurs from time to time in patients with Parkinson's disease, and its tremor frequency is 4 to 8 times per second, which is relatively slow and slightly larger than ordinary tremors. This feature can help patients identify other disorders, which can reduce the chance of tremors.
2. Tremor has fluctuation, in daily life, tremor comes and goes, so it is easy to ignore, which is caused by greater mental pressure, so it is necessary to maintain a good attitude and improve the body's immunity through exercise, so as to reduce the appearance of symptoms. However, if the symptoms are severe, it is necessary to go to the hospital for medical treatment in time to avoid other complications, which will make the operation more difficult.
3. Tremor is accompanied by changes in physical signs. Tremors are often accompanied by increased muscle tone, which is more common in Parkinson's disease. It is easiest to find when the head and neck are flexed, but it is difficult to find it in general, if it feels like the body appears, this hospital will conduct an examination** to avoid causing other diseases.
These are the three main characteristics of tremor. In daily life, if tremor occurs, it must be carried out in the hospital in time**, otherwise it may affect daily life and may also affect some dysfunction; Of course, don't panic excessively, you can still be cured after **. In daily life, it is necessary to exercise more, which can improve physical fitness, enhance self-immunity, and thus reduce the occurrence of diseases.
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Tremor can manifest as resting tremor and motor tremor, the tremor action is not under one's control, and it can manifest as tremor of the limbs and/or head, perioral. Tremors occur for a variety of reasons, in different ways, and can be done with medications and surgery.
Nervousness and anxiety can cause tremors, and deep breathing can be used to calm the mood and other ways to relieve tension, and in severe cases, some tranquilizers can be used to control tension and anxiety. Essential tremor can cause tremor symptoms, which can be controlled with medications such as propranolol.
Long-term heavy alcohol consumption can cause tremors. At this time, it is necessary to formally abstain from alcohol and use methylcobalamin and other neurological drugs, but the effect is generally poor. Tremors can also occur in patients with Parkinson's disease, and medications such as levodopa preparations may be considered to control Parkinson's symptoms.
Patients with other organic lesions of the brain may also have tremors, such as cerebral infarction, carbon monoxide poisoning, etc., methylcobalamin or hyperbaric oxygen can be tried**, but the effect is generally not good.
It is recommended that patients with tremor seek medical attention in a timely manner, find out**, and follow the doctor's advice**.
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The main manifestations are tremor, rigidity, bradykinesia, and postural disturbances, as well as recognition, perception, and memory impairment, and overt dementia.
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Essential tremor is typically characterized by uncontrolled shaking of the head and hands, occasionally accompanied by abnormalities in intonation and slight gait. In general, patients usually have a unilateral upper limb disease, and as the disease progresses, it can affect the head and legs, and most patients have a family history.
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The clinical manifestations of tremor are different, and they are mainly divided into the following three conditions. The first condition is the most common and is called physiological tremor. In some cases, most people can have physiological tremor, such as a slight and rapid tremor in the hands when the two arms are stretched out, which is a physiological phenomenon and is not necessary.
In some cases, such as anxiety, nervousness, and fatigue, reinforcement of rational tremor can also be induced, and oral drugs to regulate the nerves can be taken**. The second cause is called essential tremor, also known as essential benign tremor. This tremor usually occurs in the elderly, and the tremor is worse when you are active, but it decreases in a quiet state, and this disease is generally not necessary**.
The third condition is called cerebellar tremor, also known as intention tremor, that is, the gross tremor of the moving limb when approaching the target, which needs to be actively carried out according to the specific **.
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Tremors are divided into resting tremors, intention tremors, and postural tremors. Different tremors are seen in different diseases. There is also a type of essential tremor, the cause of which is unknown.
Disorders that cause tremors, such as Parkinson's disease, cerebellar lesions. Muscle lesions and so on. The specific manifestations are tremors in the hands, trembling of the lower limbs in severe cases, difficulty in walking, and some aggravation when anxious and nervous.
Specifically, you need to see a doctor in the neurology department in time for relevant examinations, such as brain MRI examination, dopamine receptor examination, cholinergic receptor examination, etc., and timely after a clear diagnosis**, do not be nervous and anxious, stay optimistic, and ensure sleep.
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Resting tremor tends to be the earliest manifestation of the disease, usually starting at the distal end of one upper extremity, predominantly the thumb, index finger, and middle finger, and is manifested as a movement of the fingers as if they were rubbing a ball or counting money, and then gradually extending to the ipsilateral lower extremity and the contralateral limb.
In the later stages, the lower jaw may affect the tongue and head, the muscles are stiff, and the limbs and body of patients with essential tremor disease usually become very stiff.
The early stage of the lesion mostly starts from one limb, and at the initial stage, I feel that the movement of one limb is inflexible and stiff, and gradually worsens and causes bradykinesia, and even has difficulty in doing some daily life movements, and bradykinesia.
In the early days, due to the rigidity of the upper arms, muscles and finger muscles, the patient's upper limbs are often unable to do fine movements, such as untying shoelaces, buttoning and other actions, which become much slower than before, or cannot be completed smoothly at all, and writing gradually becomes more difficult, and the handwriting is bent and smaller.
In special postures, although the patient's whole body muscles can be affected by increased muscle tone, the flexor muscle tension is higher than that of the extensor muscles at rest, so the patient has special postures, such as head forward tilt, trunk slightly flexed, upper arm adduction, elbow flexion, wrist slightly extended, metacarpophesal joint flexion, interphalangeal joint straightened, thumb to metacarpal knee joint slight flexion, etc.
Nystagmus is mainly manifested as rhythmic eye swing that is not controlled by the human body when staring at the target with both eyes, and the patient himself cannot feel the nystagmus, but most of them feel dizziness, dare not open their eyes, dare not move, and in severe cases, they can be accompanied by nausea and vomiting, and can also be accompanied by other autonomic manifestations such as palpitation, cold sweat, and fatigue. In addition, according to the different **, other manifestations of brainstem cerebellar damage (such as unsteady walking, difficulty swallowing, choking on drinking water, limb weakness and numbness, etc.), inner ear involvement manifestations (such as tinnitus, ear fullness, etc.), and ocular manifestations (blurred vision, diplopia, etc.).
Symptoms of essential tremor are manifested as trembling hands, poor speech, intermittent speech, and even slurred speech, and some movements cannot be completed.
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