How To Deal With Tremor Flashcards
What are the 2 types of tremor
Rest
Action
What can action tremor be further divided into
Postural
Isometric
Kinetic
What is a resting tremor
A tremor that occurs at rest
What is postural tremor
Occurs when a limb is held against gravity
What is kinetic tremor
Occurs when you direct a voluntary movement of the affected body e.g when asking to pick up an object
What is a isometric tremor
When there is sustained muscle contraction agaisnt an object e.g pressing your hand against the table
What is an essential tremor
The commonest tremor disorder
What are the feautes of essential tremor
Occurs in mid to late adolence
Can be familial therefore ask about family history
Bilateral, symmetrical postural hand tremor
Can also affect jaw, voic, head and legs
Affects holding objects
Improves with alcohol
What is the diagnosis of essential tremor by
History and findings
What is the tratment of essential tremor
Beta blockers
If beta blockers are not tolerated use primidone or alprazaolom
In parkinsons disease what type of tremor do they present with
Resting tremor
What is parksinsons disease caused by
Degeneration of the substantia niagra in the midbrain and there are deposition of lewy bodies
What are the symptoms of parkinsons disease
Unilateral rest tremor
Bradykinesia (slowliness)
Rigidity
Postural instability
Depression, anxiety Constipation Sleep disturbance Urinary symptoms Hallucination Cognitive impairment or dementia
What is the treatment of parkinsons disease
L-dopa (precursor of dopamine) Decarboxylase inhibitors COMT inhibitors MOA inhibitors Dopamine agonist
Why is decarboxylase inhibitors used
To stop l dopa from being converted into dopamine in the gut
