Essential Tremor | Causes, Pathophysiology, Symptoms, Exacerbating Factors, Diagnosis, Treatment
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- Опубликовано: 30 май 2024
- Essential Tremor | Causes, Pathophysiology, Signs and Symptoms, Exacerbating Factors, Diagnosis, Treatment
Essential Tremor is a movement disorder involving involuntary action and postural tremors of the upper extremities and other parts of the body. The underlying cause or etiology of Essential Tremor is not entirely understood, but it is believed to be due to issues in the brain stem and/or in the cerebellum of the brain. Essential Tremor differs in important ways with other types of tremors, including those that occur in Parkinson’s disease, which we will discuss in this lesson.
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67 yr old male, had essential tremor most of my life, my mother had it after age 60 and one of my brothers has had it for at least 20 years. Ten years ago I changed my diet from a plant based high carb to high animal fat/protein diet, also changed from working indoors high stress job to working as a bush regenerator, low paid, outdoor low stress job These changes improved my health in many ways including no more essential tremors even in high stress conditions! I think, changing from high carb to high saturated fat diet changed the chemistry of my brain and removed the trigger for the tremors in my hands.
Yes yes a carnivore diet will do wonders. If people only realised how bad carbs and seed based oils are, they would be so much better off.
@@dombarton2483Carbs aren't bad for you. Eating and drinking heavily processed garbage for every meal is.......
@@jordanslingluff287 all carbs are very bad for you. Non essential and are the leading cause of t2 diabetes. You unfortunately are addicted, but I urge you to try a carnivore diet. It's our optimal species appropriate species specific diet.
@@dombarton2483 Absolutely nothing wrong with carbs, talking carnivore nonsense as usual. There are of course certain plants or antinutrients that can irritate people, but there is nothing wrong with carbs. I would be more worried about your heart and arteries health on that high saturated nonsense diet.
I have had the same experience with diet change. Essential tremor runs in my family and mine was getting bad enough to affect my handwriting and ability to draw and paint. Switched to carnivore and now all is well!
When mine came into existence, I had an awful time playing the violin because even a little bit of performance anxiety makes it worse. I discovered a long time ago that Inderal (Propranolol) helped. So, I asked my physician for a prescription and like magic I was able to perform without shaking. I had read way back in the early 1970s in the newspaper that a lot of professional violinists take Inderal to help with this condition - because you cannot shake at all while performing. It worked like magic - really.
I am picking up these meds today for my tremors are just starting. Hands and head at certain times. I have a leaky heart valve and that worries me. Any advice for me?
Singers too! ❤
So my mum has essential tremor in her hands … she takes propranolol tiny dose … I get migraines and cluster headaches I take propranolol at a much higher dose. Both work for us.
I inherited essential tremor from my dad-my sister as well. I had 14 cousins affected the same. My sister didn’t medicate before she passed, but I found a doctor who prescribed Propanalol. Sadly, the side effect of asthma hit me hard. That was last of that drug. Some years later, I heard about DBS. I had surgery at age 80 and wished that I had heard about it many years earlier. Since my thalamus was misshapen, they weren’t able to fully tame my left hand, but they were able to tame my right hand to have zero tremor. Since I am right handed, I am totally fine with it. Three weeks ago I had to have minor surgery to replace the battery, since I never turn it off. I am now 87 years old and would do it all over again. My daughter in law can adjust my tremor by making changes in the battery when needed. To say the least, I am a very happy camper!
I had essential tremors but they have gone away since I retired and stopped taking antidepressants. I have also been diagnosed with dementia so I believe that the medication was not necessary since I no longer am depressed.
Essential tremor. So that's what it's called. I always called it the skizzers. It runs in both sides of the family so I got a double whammy. No escape for me. Some days are good and some days not so good, but physical exertion almost always brings on a bout of the skizzers. But you know, I look at my 94 y/o dad and think ...it's going to be OK. He's happy, healthy and doing just fine even with the tremors. We just don't let him salt anybody's food.
Love your term for essential tremors.
Those essential tremors seem pretty nonessential to me! I can’t do a lot of things with my hands and it’s messing me up.
Stress exasperates my ET. I have ET on only the left side of my body, fingers, hand and leg. I do not have Parkinson's Disease. I was given Dilantin to prevent seizures, following brain surgery. Instead I had an anaphylactic shock and it was believed that I would die. I was placed in two different hospitals. The second hospital placed my in a room with a woman clearly dying. Her groans and moans woke me up. I am lucky to be alive. Subsequently, I never took the shot, or booster. No drugs or pharmaceuticals eliviate my tremors.
I like how you outlined it all. I noticed my ET shortly after I had a massive upper G.I. bleed. I thought I was internally nervous and it was just coming out. But it never went away and overtime was getting worse. Sometime this year I will have the surgery at the Brigham And Womens Hospital.
Im 29 and I've had a tremor noticed by someone when I was 23 and getting an eyeglass exam. I didn't know what to do about it at the time.
Loved it. Thanks for making it so simple
My 95 yr old mother has had an Essential Tremor diagnosis for twenty years. Initially misdiagnosed as Parkinsons and that led to prescribing too strong meds that she could not tolerate. She has managed her symptoms with one tablet a day at bedtime of generic Benadryl (doctors will argue this can lead to memory loss or result in falls but this has not happened with her and such concern must be balanced with the enormous benefit of taking it).
Yup, I remember my grandfather having it and when he'd come over for Sunday dinner and ask for coffee, my mom would give it to him with the cup about half full and a saucer to catch the spill over from shakes. My dad had it and his head would bobble a bit at times in his 80's. I don't remember either of them having a quavering voice. But they were both good guys so we loved them just like anyone would love their family and it didn't seem to interfere much with their lives. My son and I both have it and it can be annoying as now that I'm in my 70's my penmanship is deteriorating as well as some guitar playing but most of that may be arthritis. I don't write out birthday or Christmas cards in the morning after coffee. Like my cousin who inherited the tremors as well would say, "If it gets too bad, I'll just take a job in a donut shop putting on the sprinkles."
Katharine Hepburn had it and I remember her head having some involuntary movement and a tremor in her voice but I remember thinking she was very cool for going on a talk show and just carrying on with her life rather than letting it keep her from doing her thing in public. ( I remember some comedian doing an imitation of her and I thought that was pretty tacky.) But some comedians have been mocking people with disabilities for a long time and the strong ones make light of it. (Stevie Wonder - Eddie Murphy, Jada Pinkett Smith- Chris Rock, Michael J. Fox in Rescue Me).
thanks for sharing
I am now 65 and have had ET for as long as I can remember. A doctor diagnosed me with it, and told me it was nothing to worry about. It is still not a severe case. Just don’t ask me to carry a hot cup of coffee or tea across a room! I was adopted at birth, and met my birth mother when I was 18. She confirmed that she, too, had ET. (She is now deceased.). Her brother’s daughter has it, too. No one in my adoptive family had it.
Thank you. There was so much good information in here.
I have an essential tremor of my right hand which I've had for many years. Since I'm a world traveler, every doctor I encounter diagnoses it differently: alcoholism, parkinson's, brain disorder, epilepsy, on and on. It's just crazy! The irony is that I barely notice it.
I remeber my grandpa's hands shaking everytime he went to drink coffee,tea or eating. My mom noticed mine when I was eating, just grew accustomed to it.
I have the beginnings of it. My grandfather , mom's side had it as well as did his father. My dr said it can run in families.
Thanks
I get tremors but also I get body spasms or jerks. The spasms shows up especially when stressed or thinking about something that is bothersome. What causes this.? I have inner ear tumor, severe neck and lower back issues.
Thank's, helped a bit. Had it slightly for 35 - 40 year's just got real bad ... Nice to know 'what's going on'. Better than just being given pill's.
Ive started getting tremors after getting a intercranial stent for Intercranial hypertension. Originally starting in my right hand then to left hand now i get tremors in my hands, thighs, jaw and occasionally torso. All started april last year. Still not diagnosed but sounds like this except for the fact it started after intercranial surgery. I was on topiramate for iih but now been taken off it.
Is Cala kIQ (aka Cala trio) a good treatment option? I've had essential tremors for over 65 years with a strong family history of ET. Propranolol is diminishing in effectiveness.
My grandfather and my daughter have this, so I would agree that there is a genetic connection
Can antidepressant cause tremors. I'm noticing it since being on meds??
I'm surprised that ketogenic diets are not mentioned in this video as many people are reporting that their tremors have greatly improved or even stopped on a keto or carnivore diet.
can a tumor can start with hit in the head hard? On the arm
I was able to stop my tremors when I started taking zinc with vitamin C
C is needed to help the body break down the zinc.
Try it and see
I have struggled with this for some years but not any more
Just like he is speaking was my experience and it was explained to me like I had a low internal low battery.
And it’s easy to try and I noticed a fairly fast change!
how much zinc and C?
I was lucky in having someone who at social gatherings she would see it coming on me and would take my cup or glass from my hand. She just knew somehow it was about to happen! I m now on medication thank goodness 🧐
I'm 76 and lived with this most of adult life....not knowing what it was until my sister gave it a name. She has it too. It usually comes on when anxious or over exertion. Definitely genetic. I have found taking CBD oil helps a lot...every day last 10 years❤. Give it a try!👍
Betty Grimes here got it from my mother's side.
I've had it in my left hand since my early 20s. I'm in my 40's now. Luckily it's mild.
I have essential tremors so I need this video. How am I supposed to write, use tools, eat, and other things if my hands shake when I try to do something? I’m 77.
I'm sure it's difficult.
Are you taking medications? They definitely make a difference.
Also, I personally know someone that got a pacemaker like device implanted for their tremors and the results were INCREDIBLE. They had to jump through some hoops with insurance but it was actually covered.
@@Anne_OnymousI’m taking gabapentin on the prescription of my doctor at the VA. I’m a veteran btw. I also have a device called a Cala Trio. It is a therapy device that looks like a wrist watch and is supposed to provide some kind of support for my wrist but it’s not working so well.
@@glennso47 Oh I've actually read about those and was always curious! So does the arm with the device have ANY decrease in symptoms after an hour of use?
I don't want you to settle with not being able to write or eat properly. If you haven't gone through trying all the different meds and combos of meds yet, please start requesting them! There's like 5-6 different classes of drugs approved for it that are worth a try. I have a muscle disorder and it took me years before I found a med routine that worked for me.
@@glennso47 Forgot to mention...
A few months ago I was reading a study in a med journaI where they blindly rotated essential tremor patients through the common meds (like PropranoloI, Primidone, AcetazoIamide) to compare them all. The results were that AIprazoIam was most effective and had the Iwast side effects. Just FYI.
@@Anne_OnymousI found out that I was using the wrong size wrist band. The company recently sent me a replacement band that is a bit smaller. So I’m trying to use that to see if it works better. You are supposed to see some relief after using it but unfortunately it was not working well for me. As I said the company is trying me out with a different size band. So we will see how that works.
I had DBS and it was like night day, it works very well. Both hands are fine now.Check out West Virginia University Morgantown
My dad had ET so badly that he had an electrode implanted in his brain that stilled his right hand. My younger sister has it, but at 65 my hands are still steady so far.
Have you ever heard of a Cala Trio that is a therapy device that resembles a wrist watch that is supposed to help with tremors? My doctor recommended one for me but I don’t see any evidence of results in its use.
I had focused ultrasound and it stopped my tremors.
prescriptions I am on if I not take will give shakes. It a with withdrawrel
spike injection and infection both can cause this FYI. scary as heck. be careful of the new strain. experienced it. getting better but really scared me.
My mom had this.
I can remember tremors going back about 60 years and it was just as bad then as now. There's always been good and bad days and I can't find triggers. Good days I'm fine. Bad days I can't even lift a glass of water without spilling most of it and typing can be ... interesting. I have an aunt who's the same. We used to put it down to asthma medication but I've had so many different ones over the years I can count that out. I've had people assume I'm alcoholic or that I have Parkinson's but I was diagnose with essential tremor so I know it's not Parkinson's and I never really acquired a taste for alcohol. I take metoprolol daily for my heart (propanolol gives me horrific nightmares) and take diazepam (1mg). They help a little.
Funny, had a tremor of the hands since the age of 6. I adapted my life. And now at the age of 69 it is not worse.
My doctor has me on primadone. I still have my moments But it is better I haven’t tossed any coffee cups in a while I still have balance issues and I have to be careful about falls. I average about two a year
Be 73 in August started tremoring at 70, started in left hand then head! Have to hold arm to pick up and hold glass! No mental symptoms, perfect memory, food to mouth head stops!
They say I have dementia! But no effects except tremors! When will I see mental problems?
Get another opinion.
Try a ketogenic diet
Are you on any medications? If you are check for side effects. I was on some medication and still am but the ones I was on I believe was causing the tremors. Also caffeine. I cut back on the caffeine and started taking more vitamins and supplements for my brain and energy. The tremors disappeared .
@@user-ei9vu9nc9u thanks, again
Essential tremors can be also caused by ordinary Gluten - gliadin which is the typical one, and also by any prolamine protein in grains, in oats - avenin, in rice - orzenin..etc. Gluten can actually even cause chorea, as there is such a thing as gluten induces chorea, so maybe try completely gluten free, eventually oat free and rice free and perhaps in some people tremor could disappear.
30 years old with babinski, hofmann and Romberg signs ( neurodegenerative disease) it s horrible
Has everyone been able to master driving without issues?
I am 65, been driving since I was 17, and have ET but no issues whatsoever with driving, thank Goodness!
Interesting alcohol helps with tremor. Even small doses of alcohol when cleared from the body leave neurons in a hyper excitable state for several days. That is why people with epilepsy should not drink alcohol.
I have this. It's just horrible. I have had it for 50 years and my whole body shakes. It is much worse now .
Have you looked into ultrasound treatment?
@@WestVirginia1959 no. I have never heard of that.
I have them also and it’s not fun. I’ve recently been getting Reiki treatments and I highly recommend trying it. The tremors are becoming less intense 😊✌🏼
@@AarronSall you need is benzodiazepines. Too bad doctors are a bunch of losers and don't prescribe it
@@HeadsHouslol nonsense. Gtfo.
When i was 15 years old it started come in to my life i inherited fr9m family some situation my friend laughed but i use prapronol to cotrol in university. It make me coward
My doctor has me taking Gabapentin for the tremors.
Do some research on that medication, please. Some studies say it can cause dementia. Sorry.
Agree, do research on gabapentin, please.
@@ginger6582I hope the doctor does the same research. It only helps if we can be on the same page about Gabapentin! 😮
@@kalayne6713significantly higher risk in relationship to Alzheimer's disease from benzodiazepines rather than from gabapentin. Both are gabaergic but one is significantly more risky than the other. Dose-dependent also
It's embarrassing to have been an artist and all my friends keep asking me what I'm working on. It's a struggle to draw.
I'm sorry to hear that. I am a 72 year old artist and my Dad had essential tremor. I am hoping that I will not get it.
I did not know that there is a 50% chance I could get it. I am hopeful that if I have not gotten it yet I may be ok.
When I took up serious drawing (60 years old) my tremors reduced significantly. So I maybe different than your case. Also a ketogenic diet has stilled my ET. Both of my siblings and I have ET. When young I was the worst but now I am far less affected while they are seeking medical solutions. If you still enjoy drawing you might consider an iPad and a drawing app like Procreate or Fresco. The learning curve might be frustrating but most digital drawing apps have adjustable stabilization. I’m 73 now and work 90% of the time digitally. Makes my work even more portable than plain air!
I have tremors probably because of B12 defiency
Or maybe gluten irritated immune system attacks certain cells in your cerebellum with gluten antibodies.
Me, too. Am taking complex B plus oral B12. I am considering a high B1 course, with these others.
Eat plenty of red meat!
Really dude? There's no treatment only suppression of symptoms. The pharmacological 'treatments' seem rather problematic
I find your videos interesting, but i get lost in all the medical terms and words. Can you please explain this in more plain words, please .
As a retired health care professional I prefer the correct technical terms - it avoids errors and confusion about what is being discussed. There are many posts on the same topic meant for general consumption by the public and you may prefer to try that route. The alternative is to learn medical terminology, as it make these presentations much easier to follow and understand.
Not essential! 👋🫷
💖