Therapy for tremor (shaking) depends on the cause. General measures Limited alcohol consumption (men: max. 25 g alcohol per day; women: max. 12 g alcohol per day). Limited caffeine consumption (max. 240 mg caffeine per day; equivalent to 2 to 3 cups of coffee or 4 to 6 cups of green/black tea). Drug therapy Essential … Tremor: Therapy
Medical history (history of illness) represents an important component in the diagnosis of tremor (tremor). Family history Are there any individuals in your family with neurologic disorders? Genetically related disorders? Social history Is there any evidence of psychosocial stress or strain due to your family situation? Current medical history/systemic history (somatic and psychological complaints). How … Tremor: Medical History
Congenital malformations, deformities, and chromosomal abnormalities (Q00-Q99). Fragile X-associated tremor ataxia syndrome – genetic disorder with X chromosomal dominant inheritance; adult-onset gait disturbance and increasing intention tremor (trembling of the limbs during a purposeful movement). Respiratory System (J00-J99) Chronic obstructive pulmonary disease (COPD) – carbon dioxide retention. Endocrine, nutritional and metabolic diseases (E00-E90). Diabetes mellitus … Tremor: Or something else? Differential Diagnosis
A comprehensive clinical examination is the basis for selecting further diagnostic steps: General physical examination – including blood pressure, pulse, body weight, height; further: Inspection (viewing). Skin and mucous membranes Gait pattern (fluid, limping) Body or joint posture (upright, bent, gentle posture). Malpositions (deformities, contractures, shortenings). Muscle atrophies (side comparison!, if necessary circumference measurements). Auscultation … Tremor: Examination
2nd order laboratory parameters – depending on the results of the history, physical examination and obligatory laboratory parameters – for differential diagnostic clarification. Small blood count Differential blood count Inflammatory parameters – CRP (C-reactive protein) or ESR (erythrocyte sedimentation rate). Electrolytes – calcium, potassium, magnesium, sodium. Fasting glucose (fasting blood glucose), if necessary oral glucose … Tremor: Test and Diagnosis
Optional medical device diagnostics – depending on the results of the history, physical examination, and obligatory laboratory parameters – for differential diagnostic clarification. Electromyography (EMG; measurement of electrical muscle activity) – to rule out asterixis (flutter tremor, i.e., coarse tremor of the hands, which occurs mainly in toxic or metabolic (metabolic) encephalopathies (brain damage)) Computed … Tremor: Diagnostic Tests
Tremor refers to involuntary rhythmic twitching of muscle groups. It often affects the hands, but it can also affect the whole body. Tremor is classified clinically by: Activation condition (rest, action, holding, undirected movement, target movement). Frequency (low frequency: 2-4 Hz, medium frequency: 4-7 Hz, high frequency: > 7 Hz). Intensity or amplitude Fine-beat tremor … Tremor: Symptoms, Complaints, Signs
