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There are many causes of hand tremors, the first of which is Parkinson's disease, which is characterized by resting tremor with bradykinesia, special posture, gait abnormalities, and increased muscle tone. Resting tremor refers to the patient's hand tremor when the patient is quiet, generally 4-6 pill-rubbing shakes per second, which decreases during activity and disappears during sleep, which is resting tremor. There is also a type of tremor caused by cerebellar lesions, which refers to the patient's severe tremor when he is active, especially when he is close to the target, and the symptoms may be slightly reduced when he is quiet, which is a cerebellar lesion.
There is also essential tremor, which refers to unexplained tremor that can be seen in patients of all ages, especially in the elderly, and may be related to arteriosclerosis. The more nervous and anxious the more anxious the more it will tremble, and in severe cases, it will affect daily work and life, and may not be able to hold a pen, and it may be difficult to write. Therefore, patients with simple hand tremors must see a neurology department in time and ask a specialist for a detailed physical examination.
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Departments: Neurosurgery, Neurology, Endocrinology.
Guan Yuguang. Medical Codex Expert Group.
Chief physician of Sanbo Brain Hospital, Capital Medical University.
Director of the Department of Functional Neurosurgery, Sanbo Brain Hospital, Capital Medical University, Standing Committee Member and Secretary-General of the Neuromodulation Professional Committee of the Chinese Medical Doctor Association.
The content of this word is original by the Health Medical Codex, and it has been reviewed and proofread three times.
Outline the cause of the diagnosis by seeking medical attention** daily.
Because the hand is responsible for performing all the contents of daily life, study, and work, hand tremors are the easiest to detect and notice. There are many causes of hand tremors, but this symptom is mostly related to abnormal brain function, network connectivity, or systemic organ tube metabolism, and is the primary symptom of many diseases.
What diseases may be associated with hand tremors?
Whether it's resting tremor due to Parkinson's disease, convulsive tremor due to epilepsy, postural tremor due to essential tremor, or motor tremor due to cerebellar disease, hand tremor can be the main symptom.
However, different diseases can generally manifest as a combination of symptoms, such as:
The main symptoms of Parkinson's disease can be muscle stiffness and bradykinesia in addition to resting tremor, which is mainly manifested by hand tremor;
Epilepsy, in addition to hand tremors, can also manifest as secondary generalized convulsive seizures or electroencephalogram (EEG) for epileptic discharge;
Essential tremor generally has a family history, and is usually manifested as involuntary tremor of the head and upper limbs, which is aggravated by tense exercise and relieved by rest and alcohol consumption;
Motor or intention tremor due to cerebellar lesions is usually diagnosed with a clear history of cerebellar injury and other signs and symptoms of neurologic impairment, as well as magnetic resonance imaging (MRI) or CT.
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Hand tremor is divided into physiological hand tremor and pathological hand tremor, the amplitude of physiological hand tremor is small and fast, mostly appears when stationary, often appears in the case of mental tension, fear, emotional agitation, severe pain and extreme fatigue, once the above causes of hand tremor are eliminated, hand tremor will disappear; Pathological hand tremor, medically known as "tremor", refers to involuntary tremors of the hand, often permanent.
In addition to physiological hand tremors, pathological hand tremors may be a harbinger of many diseases, such as the following:
1.Parkinson's disease. If one side of the hand or foot shakes uncontrollably, and it is noticeable at rest and lessens with activity, it is alarmed for Parkinson's disease.
The most typical manifestation of the disease is the joint action of the thumb and index finger 3 to 4 times per second, such as the "pill-rubbing" action, which can cause symptoms such as limb stiffness, reduced movement, and unsteady walking with the prolongation of the course of the disease. The disease generally occurs in middle-aged and elderly people aged 50 to 60 years old, slightly more males than females, and the incidence rate accounts for about 75% of all patients80.
2.Essential tremor. The disease is still unknown, mainly affecting the upper limbs and head, and the symptoms of this disease are the opposite of Parkinson's disease, and the main characteristics of shaking are obvious when the limbs are moved, and they are reduced or disappeared when they are at rest.
There will be similar patients in the family, indicating that there is some hereditary status, some people have less shaking after drinking a small amount of alcohol, and there are no abnormalities on the neurological examination except for hand tremors.
3.Hyperthyroidism. Hyperthyroidism is also a common cause of limb tremor, if the hand tremor is accompanied by symptoms such as weight loss, excessive sweating, proptosis, rapid heartbeat, etc., you should go to the hospital for serum thyroxine and thyroid B ultrasound examination in time.
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Hand tremors can be caused by the following reasons. 1. Essential tremor, mostly after the age of 30, manifested as the shaking of the hand and head, the shaking is more obvious when concentrating on a certain action, the shaking disappears when the relaxed limbs are in a resting position, and the shaking can also disappear after drinking, the disease is a benign lesion, and the disease progresses slowly. 2. Parkinson's disease and Parkinson's disease are caused by the decrease in the synthesis of dopamine in the brain, which is manifested as finger tremor in the early stage, showing pill-like movements, and the gradual progression of the disease can involve the upper limbs, lower limbs and head, accompanied by increased muscle tone, panicked gait and other manifestations.
3. Some other diseases can also have similar symptoms, such as drug-induced tremor, psychogenic tremor, hyperthyroidism, hypoglycemia, etc.
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Hand tremors are a phenomenon that occurs from bovine lesions in the body. You have to go to the hospital for a check-up and ** before you can conclude what the disease is? So don't delay your condition, go to the hospital for a check-up.
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