Symptoms
By Mayo Clinic staffEssential tremor signs and symptoms:
- Begin gradually
- Worsen with movement
- Usually occur in the hands first, affecting one hand or both hands
- Can include a "yes-yes" or "no-no" motion of the head
- Are aggravated by emotional stress, fatigue, caffeine or extremes of temperature
Essential tremor vs. Parkinson's disease
Many people associate tremors with Parkinson's disease, but the two conditions differ in key ways:
- When tremors occur. Essential tremor of the hands typically occurs when you use your hands. Tremors from Parkinson's are most prominent when your hands are at your sides or resting in your lap.
- Associated conditions. Essential tremor doesn't cause other health problems, whereas Parkinson's is associated with a stooped posture, slow movement and a shuffling gait. However, people with essential tremor may sometimes develop other neurological signs and symptoms — such as an unsteady gait (ataxia).
- Parts of body affected. Essential tremor can involve your hands, head, voice and legs. Tremors from Parkinson's typically affect your hands but not your head or voice.
References
- Essential tremor. Genetics Home Reference. http://ghr.nlm.nih.gov/condition/essential-tremor/show/print. Accessed June 12, 2010.
- Tarsy D. Overview of tremor. http://www.uptodate.com/home/index.html. Accessed June 14, 2010.
- Eidelberg D, et al. Tremor. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merck.com/mmpe/sec16/ch221/ch221i.html?qt=essential%20tremor&alt=sh. Accessed Aug. 8, 2010.
- Tarsy D. Pharmacologic treatment of essential tremor. http://www.uptodate.com/home/index.html. Accessed June 14, 2010.
- Tarsy D. Surgical treatment of essential tremor. http://www.uptodate.com/home/index.html. Accessed June 14, 2010.
- Tremor fact sheet. National Institute of Neurological Disorders and Stroke. http://www.ninds.nih.gov/disorders/tremor/detail_tremor.htm?css=print. Accessed June 12, 2010.
- Louis ED. Essential tremors: A family of neurodegenerative disorders? Archives of Neurology. 2009;66:1202.

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