Essential tremor, benign or familial

Essential tremor, benign or familial
This disease is not usually associated with a disease of the nervous system can occur in apparently healthy people. Sometimes the disease can be transmitted and autosomal dominant gene. Symptoms usually occur in IV-VI decade of life, but can occur in childhood.

 
Clinically, familial tremor is manifested by tremors of the hands and head, legs are not affected. Speech is jerky, uncertain. Limb tremor amplitude is not too great at first, was overlooked by the patient. With time, however, it gets worse, becomes disturbing to the patient's daily activities ingreunandu. This is usually when the patient presents the physician. In the clinical examination are other neurological abnormalities.

 
Treatment is administered in cases with pronounced tremor, because at the start of treatment should be followed for life, not recommended his termination. In case of interruption events can be resumed and usually have a higher intensity.

 
Medications are usually given at: - 40-120mg/de propranolol twice daily, orally - Primidone in doses of 125 mg twice daily, morning and evening, increasing gradually to 250 mg dose three times a day.

 
It will also avoid caffeine and medications that seem to accentuate the tremor. The above treatment does not eliminate entirely the tremor, just reduces it to an acceptable level, so that the patient was able to continue daily activities without difficulty.