Essential Tremor
What is Essential Tremor?
OEssential TremorIt is the most common type of tremor in existence.
Essential Tremor is a special type of tremor, which appears when the person moves their arms when writing or picking up an object, or even when they keep their limbs still against gravity.
It can start in youth, with discreet worsening over the years, or after the age of 60, confusing and worrying the patient about the suspicion of Parkinson's disease.
OEssential Tremor usually be quite different from the tremor of the patient withParkinson's, which is a tremor that appears when the patient has the limbs at rest, relaxed and that usually improves when performing a movement, different from Essential Tremor that worsens with movement or posture.
Differentiation between tremors is not always simple. For this reason, a neurologist specializing in movement disorders is almost always indicated so that the patient can be properly evaluated.
How is Essential Tremor Diagnosed?
Oessential tremor diagnosis it is clinical, which means that it does not require imaging tests or laboratory tests and is done in the medical consultation with the specialist doctor, through the characteristic history and also according to the response to the specific treatment.
Some laboratory tests are usually necessary to exclude associated causes, such as hormonal alterations such as hyperthyroidism, systemic infections, polyneuropathies, among others.
How Essential Tremor is Treated
Oessential tremor treatment is done through specific medications, the first choice being non-selective beta blockers, such as propranolol.
Other drugs such as Primidone and Phenobarbital, Gabapentin also are used and can be very useful.
As with any treatment, doses vary greatly, and regular monitoring is necessary to determine dose adjustment and the need to change medication.
In cases refractory to the usual medications, botulinum toxin can be used, both in limbs and in cephalic tremor (head tremor).