November 10, 2011
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One of the most common types of tremor manifested today is considered to be essential tremor . The disease can be diagnosed in several family members. Especially noticeable tremor of the hands, when the patient picks up a certain item or raises his hand, pointing to anything. However, during movement directly tremor was observed.
The causes of this disease may be certain diseases ( hepatic failure . lithium poisoning . mercury . Arsenic ), As well as drugs that directly affect the nervous system (e.g. antidepressants ). It manifested as tremors and side effects after administration of several drugs.
Types and symptoms of tremor
Today the experts there are several types of tremor. T Remora good - The most commonly occurring disorder propulsion system . This disease sometimes takes quite seriously. Mostly seen in adolescents and young adults. As a rule, the first manifestation of it - hand tremor : First one, later - both. More than anything noticeable when shaking outstretched hands. Further there tremor other parts of the body and the manifestation tremor larynx and language may have speech difficulties. Its manifestations are exacerbated during times of stress, as well as after the adoption of alcohol .
Postural tremor - This type of disease can be hereditary disease, as well as the result of high anxiety, the presence of hyperthyroidism . The reason for this kind of tremor may also be abstinence symptom after taking alcohol or drugs. Another reason for existence of this type of tremor - chemicals poisoning or overdose of certain drugs. This type is characterized by tremor melkorazmashisty, so most visible manifestations of his outstretched hands and fingers spread patient. Wherein during movement tremor does not disappear, and when a strong patient the symptoms of concentration increase.
Tremor intentsionnogo arises after defeat cerebellum Who is responsible for keeping balance while walking. These patients are characterized by krupnorazmashistye and a little rough movements, manifested in purposeful movement, and are absent in the rest. If the patient tries, with his eyes closed, standing in a pose with arms outstretched reach the nose, not the first that does not happen.
Asterixis - The most dangerous type of the disease. This variety is due to tremor Wilson's disease . hepatic . kidney . respiratory failure . presence of lesions mesencephalon . For this type of tremor is characterized by very slow and spasmodic flexion of arms and legs.
Tremor is the major symptom Parkinson's disease . Generally, this disease occurs in the elderly, a tremor of hands - is the initial sign of the disease. Parkinson's disease is often the cause of disability, but it does not affect life expectancy.
Diagnosis tremor
At diagnosis recorded amplitude-frequency characteristics, the extent of movement expressed, particularly tremor and subsequent dynamics.
Specialist also carries out the description of occurring disease, which became the background for the display flicker.
For the diagnosis of video footage on a " Rapid "- A shooting at a high frequency and a slowdown in the projection frame. The patient was examined by tremografa Which can register jitter in three planes using dark pictures (carried fixing limb on certain segments involved in the jitter). Method electromyography to determine the qualitative and quantitative characteristics rhythmic hyperkineses .
Treatment of tremor
When the manifestation of tremor treat benign disease basically not required. If jitter is expressed in parts of the body is very strong, then the patient may be prescribed drugs propranolol or primidone . In the case of tremor exclusively under emotional stress, it is assigned a single dose of drugs with hypnotic and sedative effect, for example, Lorazepam .
When essential tremor is assigned a complex treatment with drugs - beta-adrenoceptor antagonists . benzodiazepines and primidone . Through beta-blockers possible to reduce the amplitude of the tremor, and significantly improve the clinical picture. Manifestations of essential tremor are also reduced after administration benzodiazepines . However, the appointment of treatment should take into account that due to the constant use of said drugs may develop tolerance. Therefore, their use is not constant, but in case of need. Sometimes used to reduce the symptoms of tremor alcohol But here there is a risk of its misuse. As this type of therapy tremor primidone prescribed dose of 25-250 mg / day. It is also possible combination with beta-blockers.
Treatment of cerebellar tremor, usually does not have the desired effect. However, there is information on the positive results following therapy clonazepam and primidone . A more pronounced effect gives Micro-thalamic or Stereotactic thalamotomy .
Parkinson's disease is currently considered an incurable disease. However, the timely and proper treatment can significantly delaying the development of Parkinson's disease. Thus, the patient should always use a cane. By reducing disability and violation of skills in everyday life can be administered the drug levodopa .
Effective treatment of tremor is important to observe and determine what the circumstances are the cause of his symptoms. In some cases, a positive effect can be achieved after reducing the impact on the patient's stressors. Tremor of the hands can be reduced by continuous heavy wear bracelets or watches.
Prevention of tremor
For prophylaxis of tremor must be avoid stressful situations . It is important to ensure that the patient does not get the feeling of fatigue, aggravate the condition. As a rule, the patient's condition worsens tremor.
Should be used as little as possible of foods and beverages containing caffeine and completely abandon Smoking Area . It is also an effective preventive measure is regular exercise.
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