People shake hands, the first time people think of Parkinson. The medicine will be referred to as tremor trembling, this is only a symptom, a lot of diseases can lead to, but their performance is different .If not to say According to Parkinson's treatment, it is easy to go astray.
Tremor is defined as: rhythmic, involuntary muscles anywhere in the body reciprocating movement. Tremor often confused with tics, which is a sudden, rapid, irregular movement. Tremor can be divided into physiological and pathological. The former In the awake or sleep can occur, the amplitude is generally weak, not easily detected.Some people in stress, fatigue, anxiety, excitement and other circumstances there will be increased physiological tremors, for example, over-tense examination, engaged in Beads and other fine activity may be hand trembling.The latter is mainly the upper limbs, lower limbs or head jitter, usually when awake.According to the etiology and can be divided into primary tremor, Parkinson's disease tremor, cerebellar tremor, Brainstem tremor, dystonia, cortex tremor and degeneration of the peripheral nervous system tremor, etc. Some endocrine diseases can also cause tremors, such as hyperthyroidism, adrenal insufficiency and so on.
1. Parkinson's disease. Parkinson's disease Tremor prone to hand, leg, torso, common in the elderly, usually at rest, that is, quiescent tremor.After the activity, trembling but lighter. One side of the upper limb began, and then to the lower limbs, and then developed to the contralateral. Upper limb tremor than the lower extremities. Typical performance is 'rub-like movement', that the thumb and other fingers tremor, and muscle stiffness, write more The smaller, the 'mask face', turn over difficult performance.
2. Primary tremor. Also known as idiopathic tremor, benign tremor, often confused with Parkinson's disease, mainly in the hands, head, jaw, tongue and other parts of the trunk and lower extremities less susceptible to the cause is not Clearly, about 60% of patients have a family history, the majority of 5 to 10 years after the onset of gradually affect the ability of life, especially affecting the ability of fine activity. Patients do not appear that Parkinson's disease such as muscle rigidity, bradykinesia, stand-in difficulty and so on , Rhythm faster than Parkinson's disease.Intactic tremor is only in the activities or angry, hand jitter, such as pinch off easily, easy to sprinkle water.It is interesting that patients drink a small amount of red wine, tremor will be controlled, Increased the next day, while Parkinson's disease will not.
3. hemifacial spasm. Unilateral facial muscles involuntary paroxysmal convulsions, often from the lower eyelid slight convulsions, and gradually extended up to the whole eye, and then to the lower half of facial muscle expansion, especially in more twitch. In severe cases, even the eyes are difficult to affect the walking and work. Symptoms in the mental stress, fatigue and sleep disappear, the vast majority are not associated with pain.
4. Reverse spasticity .Also called torsion dystonia, the onset of age has two peaks, 9 years old and 45. Performance of the limbs, trunk and even the body slowly and involuntarily repeated movements, is caused by muscle spasms. Most appear in the awake state, disappear when sleeping.
5.Mayder's syndrome (or Megiddystrnosis). The main symptoms are blepharospasm and involuntary movements of the lower face, lower jaw, and neck. Patients can not read, drive, write or even cause functional blindness as well as vocalization and swallowing , Difficulty breathing, etc. Middle-aged women are more common.
If there is body tremor, hand trembling, shaking his head and brain, etc., should promptly go to more than three hospitals. Doctors will be based on tremor frequency, affected parts, attack timing, and neurological examination, neuroelectrophysiology, head MRI examination To diagnose.Many tremor diseases have good treatment.For example, 4 to 5 years of Parkinson's disease, the efficacy of dopa drugs decreased, can be deep brain nucleus damage surgery and deep brain stimulation , Can achieve better results.
