21. Essential Tremor Parkinson's Disease. essential tremor. Dystonia. essential tremor. Essentialtremor (ET) is considered the most common neurologic movement disorder. http://www.cinn.org/ibsc/movement/essentialtremor.html

What is Deep Brain Stimulation Who is a good candidate Patient evaluation process Parkinson's Disease ... Clinical Research Team Essential Tremor Essential tremor (ET) is considered the most common neurologic movement disorder. It affects an estimated 10 million people in the United States. ET is a chronic condition characterized by involuntary, rhythmic tremor of a body part, most typically the hands and arms. In most patients, ET is considered a slowly progressive disorder and, in some patients, may eventually involve the head, voice, tongue (with associated dysarthria), legs, and trunk. However, in many people, the disease may be relatively non-progressive and the tremor may be mild throughout life. All tremors usually disappear during sleep. Unlike the resting tremor associated with (during which muscles are not voluntarily activated), the symptoms of essential tremor are either absent or minimal during periods of rest. As the disease progresses, individuals with ET experience varying degrees of functional disability and resultant handicap based on the severity of the tremor.

22. Parkinson's Disease Vs Essential Tremor How is Parkinson Disease different from essential tremor? Tremor (ET). More on informationon essential tremor can be found at EssentialTremor.Org. Terminology http://www.parkinson.org/pdvset.htm

N ational P arkinson F oundation A World Wide Organization How is Parkinson Disease different from Essential Tremor? by Abraham Lieberman, M.D., Medical Director of the National Parkinson Foundation, Professor of Neurology at the University of Miami, Miami, FL A mong the most frequently asked questions is how is Parkinson Disease different from Essential Tremor. The following is a description of Essential Tremor (ET). More on information on Essential Tremor can be found at EssentialTremor.Org Terminology Tremor Questionnaire Essential tremor (ET) is the most common movement disorder. ET’s often called Benign Essential Tremor, because it usually doesn’t result in marked or striking disability. Few ET patients become disabled; most are able to cope. ET’s sometimes called Familial Tremor, or Hereditary Tremor, or Heredito-Familial Tremor because in approximately 50% of patients there’s a family history. ET’s sometimes called Senile or Senescent Tremor because it usually occurs in senior citizens. Senile or Senescent refers to the age at ET occurs, not to the patient’s mental capacity. Because of the misleading association of the terms senile or senescent tremor with senility or mental decline the term Senile or Senescent Tremor isn’t used. Description PD Questionnaire ET’s a chronic disorder characterized by involuntary rhythmical trembling or oscillation of a body part–usually the hands. The trembling usually begins on both sides symmetrically unlike the trembling of PD which begins on one-side. ET may begin insidiously with the patient unaware of (or in denial of) of the trembling until it’s pointed-out. ET usually begins in the 2nd, 3rd, 4th or 5th finger–where it’s apt to go un-notice. This is unlike the trembling of PD which usually begins in the thumb and is more apt to be noticed. The trembling in ET may, for years, remain unchanged in amplitude, frequency and distribution. Or the trembling may slowly change in amplitude and distribution. Or the trembling may increase in amplitude and distribution. The changes are rarely rapid or striking.

23. Clinical Subtypes Of Essential Tremor Organization } ~. Clinical Subtypes of essential tremor. By Abraham Conclusionessential tremor is not a uniform condition. There are differences http://www.parkinson.org/abs7.htm

N ational P arkinson F oundation A World Wide Organization Clinical Subtypes of Essential Tremor By Abraham Lieberman MD, Medical Director, National Parkinson Foundation The Following article appeared in the Archives of Neurology . The group is from Columbia Presbyterian Hospital in New York. The abstract is reprinted as a service to our readers Background: There is clinical variability in essential tremor (ET), but it is not clear whether this variability is because of the existence of distinct clinical subtypes of ET ( forms of ET that may differ in their etiology, rate of progression, or response to treatment). Objective: To examine in a group of ET cases the age of onset, anatomic distribution, and rate of progression of tremor, and to look for associations between these factors. Methods: Cases of ET were ascertained from a community and a tertiary referral clinic in Northern Manhattan, New York, NY. A total of 115 patients were examined. All subjects underwent an interview and videotaped tremor examination. Rate of progression was estimated based on the tremor severity and reported disease duration at the time of evaluation. Results: There were differences in the anatomic distribution of the tremor (arm tremor only versus head and arm tremor versus isolated head tremor). There was a large cluster of subjects with slower rates of progression, and a smaller number who had faster rates. There was an association between age of onset and rate of progression; cases with older age of onset (60+ years) progressed more rapidly. In addition, upper limb tremor progressed more slowly among those with associated head tremor.

24. Essential Tremor essential tremor is the most common movement disorder. It is often inheritedas a familial trait but can occur sporadically as well. http://www.amc.edu/neurosciences/parkinsons_essential_tremor.htm

Movement Disorders Center Information: Parkinson's Disease Dystonia Restless Leg Syndrome Essential Tremor ... Chorea and Huntington's Disease Essential tremor is the most common movement disorder. It is often inherited as a familial trait but can occur sporadically as well. It occurs in 1-5% of people over 40 years old. Symptoms are limited to tremulous or shaking motions of the hands, arms, legs, trunk, head or voice. Typically, the involuntary motions are most prominent when performing certain activities such as writing or holding utensils. This disorder is often misdiagnosed as Parkinson's disease. However, unlike Parkinson's disease there are generally no tremors at rest and other neurological symptoms such as slowness, stiffness, imbalance and immobility do not occur. This disorder is commonly treated with medications which can provide substantial relief in many patients. For those patients who have disabling symptoms and do not respond to medications there are now surgical procedures available which have an excellent track record of safety and effectiveness. If you would like to contact contact us, please fill out the form below

25. Postgraduate Medicine: Hyperkinetic Movement Disorders Understanding essential tremor. essential tremor is the most common tremordisorder, and it is the most prevalent movement disorder worldwide. http://www.postgradmed.com/issues/2000/10_00/evidente_tremor.htm

Understanding essential tremor Differential diagnosis and options for treatment Virgilio Gerald H. Evidente, MD VOL 108 / NO 5 / OCTOBER 2000 / POSTGRADUATE MEDICINE CME learning objectives To recognize the clinical features of essential tremor To learn the current pharmacologic options for treatment of essential tremor To understand when surgical treatment of essential tremor may be indicated The author discloses no financial interests in this article. This is the first of four articles on hyperkinetic movement disorders This page is best viewed with a browser that supports tables. Preview : Although essential tremor is common, its various presentations may be confused with other movement disorders, such as Parkinson's disease and dystonic tremor. In this article, Dr Evidente describes classification of tremor, the clinical features of essential tremor, and the differential diagnostic considerations. He also discusses the extensive list of medications used to treat the disorder and the surgical options for severe, drug-resistant cases. Evidente VGH. Understanding essential termor: differential diagnosis and options for treatment. Postgrad Med 2000;108(5):138-49

26. Treatment Of Essential Tremor, Mayo Clinic In Jacksonville, Fla. Treatment of essential tremor at Mayo Clinic in Jacksonville. Although recognizedfor more than a century, the exact cause of essential tremor remains unknown. http://www.mayoclinic.org/essentialtremor-jax/

search: Mayo Clinic Locations: Arizona Florida Minnesota Mayo Clinic ... Medical Services Essential Tremor Essential Tremor Treatment Appointments Clinical Trials Other Web Resources ... Medical Services Treatment of Essential Tremor at Mayo Clinic in Jacksonville Essential tremor is the most common type of "shaking disorder" and is most prevalent among middle-aged or older persons. About 5 million Americans are estimated to suffer from the disease. It is evaluated and treated through the Movement Disorders Program Although recognized for more than a century, the exact cause of essential tremor remains unknown. The trembling, up-and-down shaking of the hand may be barely noticeable at first. The uncontrolled movement worsens when basic movements are attempted, such as holding a cup of coffee, writing or using a knife and fork. In time, the problem may affect the whole arm or both arms. The head and voice may be affected too. In most cases, essential tremor is not a sign of a more serious, underlying disease. The risk of developing the condition increases with age. Almost half of the cases run in families. This genetic influence is sporadic, however. Essential tremor often begins gradually. Sometimes it first appears in the teen years, goes into remission for decades and surfaces again late in adulthood. Many people associate their tremor with a stressful event such as an accident or the death of a loved one. Although not a cause of essential tremor, stress may call attention to it.

27. Essential Tremor Subscribe now . essential tremor. A essential tremor is also known as familialtremor, because it often occurs in several members of the family. http://healthlink.mcw.edu/article/901214105.html

Search Articles: search tips Please Take the HealthLink Survey Email this article Print this article Find related articles: By topic: By keywords: Receive Health Link via email! Subscribe now >> Essential Tremor Q: I am 69 years of age and have been diagnosed with "Essential Tremor." The shaking I have is in my head and the doctor has put me on the drug Mysoline. At times I feel okay, and other times it seems as if I'm tightened up in my neck and feel myself shaking. Other times I don't feel it. In fact, my husband is the one who noticed it at first and said it was shaking a lot. Could you tell me if there is a known cause for this and if there is any other medication available? I have heard this is what Katherine Hepburn has and more women have this. What is the prognosis of this affliction? A: Essential tremor is also known as "familial tremor," because it often occurs in several members of the family. About half of the cases are directly inherited, and the other half arise spontaneously. The head and hands are often affected, and even the voice may be involved (Katherine Hepburn is a good example of that). Although the tremor may start at any age, it usually begins in young adulthood and persists throughout life. Obviously this can be quite embarrassing, since it may look like the person is very nervous because of the shaking. It is not more common in women than men and does not necessarily get worse with age. One or two drinks of alcohol may eliminate the tremor briefly, but it will become worse after the alcohol has worn off. There are a few treatment options you could try. Propranolol is a heart/blood pressure medicine that will decrease the tremor in some people, especially if it is a fast fine tremor with a frequency of about 8 shakes per second. Mysoline, which your doctor prescribed, is probably the drug of choice. A dose of 50 mg can be taken at bedtime and increased gradually up to 250 mg if necessary.

28. Disease Category Listing (523): Essential Tremor Clinical Trials essential tremor. California. Los Angeles; West Los AngelesVA Medical Center Volunteers Wanted With essential tremor. Colorado. http://www.centerwatch.com/patient/studies/cat523.html

Clinical Trials: Essential Tremor California Los Angeles; West Los Angeles VA Medical Center Volunteers Wanted With Essential Tremor Colorado Englewood; Colorado Neurology, P.C. A national research study to investigate if an FDA approved drug used in the treatment of epilepsy (seizures), can alleviate the symptoms associated with essential tremor. Florida Sarasota; Neurological Research Institute of Sarasota A national research study to investigate if an FDA approved drug used in the treatment of epilepsy (seizures), can alleviate the symptoms associated with essential tremor. Tampa; Parkinson’s Disease and Movement Disorders Center A national research study to investigate if an FDA approved drug used in the treatment of epilepsy (seizures), can alleviate the symptoms associated with essential tremor. Tampa; Parkinson's Disease and Movement Disorders Center A national research study to investigate if an FDA approved drug used in the treatment of epilepsy (seizures), can alleviate the symptoms associated with essential tremor. Maryland Baltimore; University of Maryland

29. Study Posting (2132) -- Trial #33836, Essential Tremor, Baltimore, MD study to investigate if an FDA approved drug used in the treatment of epilepsy(seizures), can alleviate the symptoms associated with essential tremor. http://www.centerwatch.com/patient/studies/stu33836.html

Trial Information Summary: A national research study to investigate if an FDA approved drug used in the treatment of epilepsy (seizures), can alleviate the symptoms associated with essential tremor. This research study is being conducted to evaluate the effectiveness and safety of an investigational drug for the treatment of essential tremor. Subjects may continue to take up to one medication for tremor during the study. Study participants may receive at no cost the following study related benefits: study medication careful, professional care and monitoring throughout the study physical exams, EKG and laboratory tests You or someone you know may qualify for participation in this study if you are a healthy adult (18 to 80 years of age) with essential tremor symptoms. Patients cannot be enrolled in the clinical study until they have signed an informed consent form, completed screening, and have been fully evaluated at the study site. Contact: Kelly Dustin, RN, Research Coordinator University of Maryland 22 South Greene Street, N4W46

30. Essential Tremor essential tremor. What is essential tremor? Tremor is an uncontrollable rhythmicshaking. In these cases it is called idiopathic or essential tremor (ET). http://www.neurobc.com/conditions/essential_tremor.htm

MEMBER LOGON FEEDBACK SEARCH HOME general info about us patient info neurological tests BC specialty clinics neurology faq studies underway feedback support groups find a neurologist neuro conditions professional web research subspecialty links free screensavers clinical cases neurological quotes protocols on the web practice opportunities BC happenings PDA files BC/Can www links Information Sheets See Conditions Bell's Palsy Brain Tumors - Metastatic Brain Tumors - Primary Neural Carpal Tunnel Syndrome ... Tourette's Syndrome Essential Tremor What is Essential Tremor? Tremor is an uncontrollable rhythmic shaking. It may occur in several different neurological disorders which have other associated signs or symptoms. For some people, however, their only problem is the tremor and it is not associated with any other condition. In these cases it is called idiopathic or essential tremor (ET). While essential tremor may involve other parts of the body, the hands and head are most often affected. The shaking often begins in the dominant (writing) hand, and may spread to both hands, affecting both writing and eating. Some affected individuals also develop a quavering intonation to their speech as a result of the disorder. Essential tremor is often slowly progressive and shaking may worsen over time.

31. Gene Locus Found For Essential Tremor Disorder NINDS is part of the National Institutes of Health. Gene Locus Found for EssentialTremor Disorder For release Friday, November 07, 1997 Back To menu http://www.ninds.nih.gov/news_and_events/pressrelease_tremor_110797.htm?type=arc

32. Essential Tremor Home Illustrated Guide to Alzheimer's Disease http://www.diseases-explained.com/EssentialTremor/home.html

33. Essential Tremor essential tremor. Place for People with essential tremor provides news,discussion boards, an online support group, and related links. http://www.ability.org.uk/Essential_Tremor.html

Our Aims Services Stats ... Z Essential Tremor International Tremor Foundation - consists of patients, physicians, educators, parents, relatives and volunteers supporting education, providing community services and funding to help support tremor research. Place for People with Essential Tremor - provides news, discussion boards, an online support group, and related links. The Parkinson's Institute: Essential Tremor - contains general information and a listing of local support groups. University of Oklahoma Department of Radiological Sciences Web Directory: Essential Tremor - information from Wake Forest University. Western Essential Tremor Network - nonprofit group dedicated to improving the quality of life of people affected by essential tremor. Provides information and establishes support groups. Webmaster . Site Design by Ability "see the ability, not the disability" Acknowledgments

34. InteliHealth: Benign Essential Tremor Health A to Z, Reviewed by the Faculty ofHarvard Medical School essential tremor http://www.intelihealth.com/IH/ihtIH/WSIHW000/9339/10367.html

Entire Site Diseases Conditions Healthy Lifestyle InteliTools Your Health IH Catalog Dental chrome_imgPreload('gifChr_mid_but_home_mo_1','http://img.intelihealth.com/i/C/Chr_mid_but_home-o.gif'); chrome_imgPreload('gifChr_mid_but_shop_mo_2','http://img.intelihealth.com/i/C/Chr_mid_but_shop-o.gif'); chrome_imgPreload('gifChr_mid_but_dental_mo_3','http://img.intelihealth.com/i/C/Chr_mid_but_dental-o.gif'); chrome_imgPreload('gifChr_mid_but_drug_mo_4','http://img.intelihealth.com/i/C/Chr_mid_but_drug-o.gif'); chrome_imgPreload('gifChr_mid_but_askexpert_mo_5','http://img.intelihealth.com/i/C/Chr_mid_but_askexpert-o.gif'); chrome_imgPreload('gifChr_mid_but_medical_mo_6','http://img.intelihealth.com/i/C/Chr_mid_but_medical-o.gif'); chrome_imgPreload('gifChr_mid_but_chats_mo_7','http://img.intelihealth.com/i/C/Chr_mid_but_chats-o.gif'); chrome_imgPreload('gifchr_mid_but_news_mo_8','http://img.intelihealth.com/i/c/chr_mid_but_news-o.gif'); chrome_imgPreload('gifChr_mid_but_privacy_mo_9','http://img.intelihealth.com/i/C/Chr_mid_but_privacy-o.gif'); Advertisement Essential Tremor What Is It?

35. Essential Tremor essential tremor. What is essential tremor (ET)? Symptoms of essentialtremor The term tremor is used to describe involuntary shaking. http://www.clevelandclinic.org/health/health-info/docs/2200/2206.asp?index=8973

36. Essential Tremor / Stereotactic Radiosurgery essential tremor MOVEMENT DISORDERS Two conditions make up the largest numbersof patients with movement disorders who might be suitable for radiosurgical http://www.irsa.org/essential_tremor.html

/* You may give each page an identifying name, server, and channel on the next lines. */ var pageName = ""; /**** DO NOT ALTER ANYTHING BELOW THIS LINE! ****/ var code = ' '; document.write(' '); document.write('>'); USA Centers of Excellence Ask the Medical Staff Click here to search my site ESSENTIAL TREMOR MOVEMENT DISORDERS Two conditions make up the largest numbers of patients with movement disorders who might be suitable for radiosurgical treatment. These diseases are Parkinson's disease and essential tremor (familial tremor). In unusual circumstances, movement disorders may also be due to head injuries, brain infections such as encephalitis, or following strokes. Movement disorders take a wide variety of forms. One of the most common movement disorders is tremor. Parkinson's Disease and Essential Tremor In Parkinson's disease, the tremor or shaking usually involves the arms and hands and is most prominent when the patient is at rest. In essential or familial tremor, the hands and arms are usually quiet at rest, but if the patient attempts to perform a task, such as picking up a glass of water or writing, then the tremor becomes very noticeable. Tremor can sometimes involve the head and neck and also sometimes involves the legs. Tremor interferes with many normal activities. Patients may be unable to write their name and, for instance, sign checks. They may be unable to drink from a cup or glass without spilling, and they may be unable to cut food with a knife and fork. In addition, patients may be unable to feed themselves, button clothing, comb their hair, or perform almost any movement that involves coordinated control of the hands, fingers and arms.

37. Abstracts: Geniospasm: A Type Of Essential Tremor? Abstracts Geniospasm a type of essential tremor? September 06, 1995, Its molecularbasis is unknown as is a possible relationship to essential tremor. http://www.hum-molgen.de/documents/abstracts/0025.html

home genetic news bioinformatics biotechnology ... next Abstracts: Geniospasm: a type of essential tremor? September 06, 1995 Neurogenetics A. Danek and T. Meitinger Neurologische Klinik and Abteilung für Pädiatrische Genetik der Kinderpoliklinik, Ludwig-Maximilians-Universität München, Germany 2nd Workshop Neurogenetics in Germany, Munich, October 19-21, 1995 "Geniospasm" was coined in 1894 for a hereditary trembling of the chin. 27 families from Europe and the USA with more than 350 affected members have been identified since. The peculiar tremor disorder is transmitted as an autosomal-dominant trait with approximately 80% penetrance and slight male preponderance. Its molecular basis is unknown as is a possible relationship to essential tremor. Ten patients (7 male, 3 female) from three families were studied in detail. The youngest subject was 4 months old, the oldest 68 years. All showed the typical intermittent, usually stress-induced quivering of the skin overlving the chin. This correlates with 8-30Hz discharges of groups of motor units in the mentalis muscle bilaterally. From clinical examination, there was no evidence for additional nervous system abnormality, although abnormal EEG, sleep disorders and involvement of other facial muscles have been described in rare cases of this essentially benign condition. In a single patient, local botulinum toxin injections succeeded in temporary abolishment of the symptom.

38. Essential Tremor - For Patients And Families - The Center For Human Genetics - D For Patients and Families essential tremor. Many people have tremor withoutknown causes which is called idiopathic or essential tremor. http://www.chg.duke.edu/patients/tremor.html

For Patients and Families Essential Tremor What is Essential Tremor? Genetics and Essential Tremor ET Study Participation Key Essential Tremor Publications ... Additional Essential Tremor Information What is Essential Tremor? An estimated 5-10 million people in the US have essential tremor, the most common movement disorder. ET differs from Parkinson disease, another common movement disorder, which is characterized by resting tremor, muscle stiffness (rigidity), and a generalized slowness of movement (bradykinesia). In ET, the tremor is present with voluntary movement and is absent when the hands are at rest. Also, ET does not cause slowness of movement or muscle stiffness. While hand tremor is the most common form of ET, essential tremor may involve the head, voice, arms and less frequently, the legs. ET is generally a slowly progressive, chronic condition. Symptoms of essential tremor often involve both kinetic and postural tremors. Kinetic tremor occurs when a patient attempts any voluntary, coordinated movement. These tremors may interfere with fine motor skills such as writing, eating, or drinking from a cup. Postural tremor arises while voluntarily holding a body part in a fixed position against gravity. The tremors can range from being mild and a minor annoyance in one individual to severe and disabling in another family member. Although ET is not life threatening, it can have a tremendous impact on the quality of daily life. Medical and even surgical treatments for ET are available; however, the cause of ET remains unknown.

39. Essential Tremor And A Cliff-driving Phobia essential tremor and a cliffdriving phobia. Thought for the day .. Hi Everyone,. essential tremor was a new term to me until I met Rhonda Noble. http://www.emofree.com/fear/essentialtremor.htm

Emotional Freedom Techniques A Universal Healing Aid Home Page Newcomers Message Tutorial Freestuff ... Free Email List - Case History Menus Depression Addictions, Compulsions, Overweight ... Articles From the EFT email support list Essential Tremor and a cliff-driving phobia. Thought for the day..... "What weighs nothing and yet is powerful enough to start a war? A belief." Gary Craig NOTE: There are 3 important EFT features in this article.... 1. How seemingly different emotional problems can be linked to the same underlying issues. 2. How either persistence or a delayed reaction can resolve a problem. 3. How cognitive shifts can signal relief before the treatment is tested. Hi Everyone, "Essential Tremor" was a new term to me until I met Rhonda Noble. (she gave permission to use her name) It manifests as a shakiness in the hands and typically shows up while drinking a glass of water or eating soup with a spoon. For some people it shows up in their handwriting. It is publicly embarrassing. For Rhonda, it was particularly noticeable when in public situations or when she felt pressure to perform. She took great pains to hide it from others by avoiding the activities that brought it about. Her doctors told her it was hereditary and that she would only get worse with time (she is 47 so, presumably, that gave her lots of time to suffer). Apparently, most of the women in her family have it. It's a sort of family curse. Many take medications for it with no lasting results (but several negative side effects). After some creative applications of EFT, however, the problem seems to have vanished. No medications. Nothing but tapping.

40. Essential Tremor Subject essential tremor Topic Area Neurology General Forum The Neurology andNeurosurgery Forum Question Posted By Kim on Friday, November 28, 1997 Hi http://www.medhelp.org/forums/neuro/archive/13915.html

Advertisement Welcome to Med Help International A not-for-profit organization Questions in The Neurology Forum are being answered by doctors from The Cleveland Clinic , consistently ranked one of the best hospitals in America. Subject: Essential Tremor Topic Area: Neurology - General Forum: The Neurology and Neurosurgery Forum Question Posted By: Kim on Friday, November 28, 1997 Hi,My names is james and I am a student and i think i have essential tremor disorder. My hands and fingers shake, fairly rapidly and this started about four months ago. I am 18 yers old and at first thought that the shaking was due to my drinking which is excessive. At first I only noticed it when I went to take a drink from a water dispenser. However now it has progressed so that I notice it when I eat, drink etc. I used to work as a waiter and have now had to give that up as I felt it was being noticed by the customers and was becoming embarrassing. I have been to a doctor who also had the problem, which I thought was odd for a doctor, who diagnoised it as a Benign central tremor. He seemed to indicate thaT I should just live with it. however being a student I am finding it very difficult to just ignore it. It has now reached the stage where i have to have 4-6 cans of beer before I can go out anywhere. I also smoke, and although I would not say i was overweight I would say I was unift.

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