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Neurology  (Expert Forum)
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Essential Tremor plus?
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Essential Tremor plus?

by ArtsyDi, Dec 12, 2004 12:00AM
Hi,

I'm a 38 y/o female. Essential Tremor runs on my mothers side of the family and I was diagnosed with that a couple of months ago.  However, a couple of weeks ago I developed a tremor or twitch in my right thumb. There was also an ache in my hand around the twiching area.  Sometimes the index finger would get involved and if I raised my hand my entire hand would tremor with it.  The resting tremor stopped by the time I got into my doctor.  She ran all sorts of tests for things like thyroid issues, mercury poisioning etc... they were all fine.  She put me on primidone for the essential tremor with the idea that if it affected the resting tremor also it would give the neurologist some clues.  I go to the neurologist on the 30th.  I"ve been on the primidone a couple of weeks now, but the resting tremor started again last night.  It was brief, but it was there with the accompanying ache.  My concern is that my grandfather on my dad's side had early onset parkinsons.  What other things could cause that resting tremor and ache?  Thank you!

by CCF-Neuro-M.D.-CS, Dec 13, 2004 12:00AM
An ache would not be part of the resting tremor associated with Parkinson's Disease. Without seeing the tremor it is difficult to comment on the cause or its type. If it is happening frequently try and video tape it for the doctor, also note how long it lasts, and if it can be stopped with movement or activity. Benign muscles twitches can occur in various muscle groups (typically due to overuse), and can look like a "tremor". There is also a condition called restless leg syndrome. This condition is characterized by an uncomfortable sensation in a limb, which is relieved with movement. Other conditions such as thyroid disease and liver dysfunction it seems have been excluded. Good luck.
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