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Benign Essential Tremor






  • This is a tremor that can begin at any age.  A tremor is a rhythmic shaking movement that (in this case) involves the hands and/or head.  The condition often affects the voluntary muscles (normally under our control).  The causal mechanism is unknown.

  • Tremor involving hands and/or head
  • Tremor worse with emotional stress
  • Ingestion of alcoholic beverages improves the tremor (not a treatment!)
  • Rarely can interfere with speech
  • Rarely interferes with handwriting

  • Often unknown
  • Inherited form

  • Neurological exam to rule out other causes (such as caffeine, alcohol and drug use, or withdrawal)

  • Medications are prescribed only after other interventions (reducing stress, biofeedback, and avoiding stimulants) have failed.
  • Propranolol (Inderal)
  • Primidone
  • Alprazolam for failed cases

  • Parkinson's Disease
  • Wilson's Disease
  • Tremors of Hyperthyroidism
  • Cirrhosis (can have a tremor associated)
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1 comment:

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