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Benign Essential Tremor

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by Stuart A

(Essential Tremor; Familial Tremor)

 

Treatment

Most people with ET do not require treatment. Mild tremors may be relieved or even eliminated by simple measures, including:
  • Staying well-rested
  • Avoiding caffeine
  • Avoiding stimulants often found in over-the-counter medications, like cold remedies
  • Avoiding temperature extremes
The following treatment options may be helpful:

Surgery

Surgery may be an option in rare cases where tremors are disabling and medications don’t help. Two approaches are possible.
  • Deep brain stimulation (DBS)—sends painless electrical pulses to the brain, interrupting faulty signals
  • Thalamotomy—destroys a tiny part of the brain (less commonly performed than DBS)
 

RESOURCES

International Essential Tremor Foundation
http://essentialtremor.org

National Institute of Neurological Disorders and Stroke
http://www.ninds.nih.gov

 

CANADIAN RESOURCES

Health Canada
http://www.hc-sc.gc.ca

Parkinson Society Canada
http://www.parkinson.ca

 

References


About essential tremor. International Essential Tremor Foundation website. Available at: http://essentialtremor.org/about-et/. Accessed February 12, 2014.


Essential tremor. EBSCO DynaMed website. Available at: http://www.ebscohost.com/dynamed. Updated August 27, 2013. Accessed February 12, 2014.


Essential tremor. International Radiosurgery Support Association website. Available at: http://www.irsa.org/essential%5Ftremor.html. Accessed February 12, 2014.


Lorenz D, Deuschl G. Update on pathogenesis and treatment of essential tremor. Current Opinions in Neurology. 2007;20:447-452.


Sadeghi R, Ondo WG. Pharmacological management of essential tremor. Drugs. 2010:70(17):2215-28.


Smaga S. Tremor. Am Fam Physician. 2003;68(8):1545-1552.


What is essential tremor? Who gets ET? International Essential Tremor Foundation website. Available at: http://essentialtremor.org/About-ET. Accessed February 12, 2014.


Xie T, Bernard J, et al. Post subthalamic area deep brain stimulation for tremors: a mini review. Transl Neurodegener. 2012;1(1):20.

 

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