Body tremors are regular, involuntary, conditioned reflex tremors that occur repeatedly. The most common tremors are in the limbs. There are many causes of tremors, including physiological tremors, hereditary tremors, or tremors due to physical constitution. In addition, we are more familiar with tremors caused by cerebellar lesions. The elderly are more prone to such tremor symptoms. If it is physiological tremor, don't worry too much. Pay more attention to conditioning and avoid excessive fatigue. Generally, it will get good improvement. However, for tremor caused by disease, it must be treated in time, especially for diseases like Parkinson's disease, which are more difficult to treat. Physiological tremor It is a normal physiological phenomenon rather than a disease. The tremors are small and rapid. Normal people have this kind of tremor but it is not obvious and unconscious. In some cases, physiological tremor will be intensified and become strong and obvious. Common reasons that can intensify physiological tremor are as follows: Emotional excitement and fear cold Low blood sugar Hyperthyroidism Alcohol or drug withdrawal symptoms Effects of medications or caffeine [The highest proportion among all tremor diseases] The cause of this type of tremor is unknown and is generally believed to be related to personal constitution. Half of them have a family history of the disease, so this tremor is closely related to genetics. ★Constitutional or hereditary tremor It occurs in people of all ages, but the older you are, the more severe the tremor. It mainly occurs in the hands, but also often in the head, and even in the voice. It is particularly obvious when the hands maintain a fixed posture or make fine movements, and it is alleviated during rest. The degree of tremor in some patients will be alleviated after drinking. The course of this type of tremor is slowly progressive and no other neurological symptoms occur. There are some variant subtypes of constitutional or hereditary tremors, such as: Tremors that occur only during movement Tremors that occur both at rest and when maintaining a fixed posture Tremor that occurs only when writing (writing tremor) Simple voice tremor Chin tremors Simple tongue tremor Postural tremor Parkinson's disease tremors It occurs in middle-aged and elderly people, mainly in the hands and feet. It is particularly obvious when resting and is relieved during movement. This characteristic is the opposite of constitutional or hereditary tremors. The course of the disease continues to worsen and is accompanied by other neurological symptoms of Parkinson's disease. Tremors caused by cerebellar lesions This type of tremor is caused by cerebellar lesions and is characterized by being absent or very mild when resting, mild when maintaining a fixed posture, but particularly obvious when approaching a target, and is accompanied by other cerebellar symptoms such as imbalance. ■ What is the prognosis of tremor and how to treat it? ●Physiological tremors will mostly disappear as long as the cause is found and treated. ●Constitutional or hereditary tremors cannot be eradicated and will become more severe over time with age. Fortunately, treatment can achieve good symptom control. ● Commonly used drugs include beta-blockers, barbiturates and other sedatives, Primidone, etc. For patients with more serious conditions who are not well treated with medication, surgical treatment with stereotactic brain surgery can be considered. |
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