Tremor (tremtinnya) - causes mimic muscular rucks. Tremor tila causes a tremor mucous - if you get sick, you can vkazuvati

Suspect postural, kinetic (tremor) and isometric tremor.

Postural tremor in the presence of pidtrimtsi position (tremor in the forward direction or in the sides of the arms). You can also see it as vinikati in singing poses (for example, if you have ailments trim your hands above your head or close across). I have a lot of questions to talk about cognitive postural tremor.

Ruhu tremor (kinetic) appears when someone is present in Russia. Rise of a simple tremor to a ruch (a simple kinetic tremor), but when a visitor is victorious, it is not intended to ruhiv (for example, letting his hands go down, hesitating, propping his hands). Also, you see an intense (lat.Intentio - meta, namir) tremor - tremor in case of straightened collapses, for example, with a finger-like and panty-colonic test, with a tremor of tremors of growths in the world.

An isometric tremor manifests itself with isometric robotic joints (napruding muscles without a crumb), for example, when the force is too late, or when it stops with a straight hand on a soft surface. Wonder also Tremor, Extrapiracy system, Extrapiracy syndromes, article Hyperkinesi.

Tremor: scho tse take, treatment, causes, symptoms, signs, diagnostics, prophylaxis

Significance: rhythmic collective rucks of a part of the floor, which are known to occur after one hour, abo handwritten fast, antagonistic sounds.

Razr_znyayut such tipi tremor:

• The tremor is calm.
• Postural tremor.
• Kinetic (acute) tremor (From the point of view of the current classifications to the accent tremor (tremor of the child) is referred to as kinetic, as well as postural appearance of tremor, and intentional tremor as early as
• Orthostatic tremor.
• Intensive tremor.

Tremor is characterized by mimic rhythmic alternating abnormally oscillatory motions of antagonistic sounds. The most common in hyperkinesis are hands, head, parts of an individual, voices, tulub or legs. Tremor can be characterized by the following parameters:

• oscillation frequency (high / low frequency);
• amplitude of rukhiv (large-scale / large-scale);
• ruch abo posi, scho provoke tremor (for example, camp calm, rukh, singing posture).

Pathophysiology of tremor

The tremor is carried to the options for the distribution of the rucks. Rukh is controlled by the establishment of intercourse of corticospinal (pyramid) paths, basal nuclei and moss.

As a rule, when the breakdown of the collapse of the neurons is localized itself in extra systems; in conjunction with tsim rukhovi rozladi is often combined with the term "extrapiramednі rozladi". Damage to the function of neurons or bend, which can lead to tremor development, may be severe trauma, ischemic or metabolic damage to the brain. Inodi tremors can be slow to fall ill.

Classification of tremor

Most often, tremors are classed behind the minds of a diagnosis.

• Calm tremor: maximum turns in calmness and change during collapses; frequency kolyvan become vid 3 to 6 in 1 sec (Hz).
• Postural tremor: maximal bending during the onset of the picture at the fixed position against the effective or gravitational force (for example, the limitation of the knitted hands); the frequency of kolivan becomes 5 to 8 Hz.
• Intensive tremor: maximum bends in case of straight rus, for example, in case of finger test; frequency kolyvan become vid 3 to 10 Hz.

Tremor can also be divided into physiological, tremors, dressings with primary illnesses, or a manifestation of the infestation of the central nervous system (for example, as the inheritance of a postponed insult).

cause tremors

Physiological tremor. Physiological tremor is one of the most common causes of tremor in practically healthy people; in the presence and in the norm, the protections of the surface are insignificant, but we will lose the corpuscles at the time of the singing speech, and at the singing stuns, the organism (for example, triviality, stress, in addition, thyrotoxicosis, the intake of β-coffeestor, agiostoxicity

Nonphysiological tremor. The reasons for its development are even more abundant, however, it is often mentioned before the most frequent:

• emotional tremor;
• Parkinson's ailment;
• urazhennya pivkul great brain abo the moss (for example, in the case of an insult to abnormal sclerosis);
• recession in the lesions of the corns (for example, spinocerebellar ataxia).

Likarsky preparations can be viclikati or posilyuvati різні options tremor. Low doses of a number of words, which may cause sedation (for example, alcohol), can reduce some types of tremor (for example, emotional or physiological); more high doses can cause development or tremor.

diagnosis of tremor

In connection with this, the diagnosis of tremor is clinical, it is necessary to take an anamnesis and conduct a physical condition.

Anamnesis. When taking an anamnesis of illness, it is necessary to clarify the nature of the tremor (for example, deeds, rapt), the ear, the nature of the reception of parts of the til, say no , coffee, stress, anxiety). As soon as the patient is aware of the potential for provoking moments (for example, a recent injury, a new drug being consumed).

It is necessary to carry out the conditioning of organs and systems for symptoms young people, Yaki can be the reason for the appearance of a tremor, including the appearance of a double in the eyes (with rosy sclerosis), A case for the recent development of dysarthria or muscular weakness (for example, with insults), as well as the development of headaches and fever (abscess of the brain or swelling), malignant rigidity and disease heat intolerance (hyperthyroidism), impaired sensitivity (polyneuropathy) and agitation with hallucinations (alcohol withdrawal syndrome).

If you take an anamnesis of life, the hour of nourishment should come with respect to illness and disease, if you may develop tremors. When asking about family anamnesis, it is necessary to clarify the manifestation of tremor in relatives of the first stage of dispute. Slid also z'yasuvati, chi brav the patient of drug preparations, which will produce a tremor, as well as living coffee, alcohol, or some words of good value (in that case, it is necessary to clarify, often)

Physical regulation. The assessment of the indicators of life includes the arterial hypertension or a feverish woman. When looking around, it is necessary to respect the signs of youthful cachexia, psychomotor excitement or the vividness / visibility of the memory. Slid propalpuvati thyroid gland on the subject of vuzliks or triomegaly, as well as brutalize respect for the mighty exophthalmus, for example, when the eyes collapse.

The adjustment of the look in case of tremor also includes an assessment of the widening and frequency of the remaining, when experienced in hyperkinesis, parts of the body in the center of peace with obvious support, when the patient is walking, hyperkinesis in part. It is necessary to make a lot of respect, if there is a tremor when the patient is open (for example, a serious rakhunok with the last messages from 100 to 7). The characteristics of the voice can be assessed by asking the ailing one to utrimuvati be-yak note by stretching the trivial period for an hour.

A severe neurological examination є obov'yazkovy and is guilty of including an assessment of the function cranial nerves, Pre-exposure to walking, glib reflexes and testing for cerebellar dysfunction (for example, finger-nose, p'yatkovo-colonic, test for shvidkі to swallow the ruff). The presence of myazovaya rigidity is estimated when the passive rucks are healthy in the pictures in the boundaries of the youthful range.

Alert signs. It is necessary to respect the following symptoms:

• rapid development of tremors;
• an ear at a time of up to 50 years for the duration of a family history of tight tremor;
• the appearance of some of the symptoms of the disease nervous system(For example, changes in mental status, muscle weakness, paresis of cranial nerves, ataxic stroke, dysarthria);
• tachycardia and agitation.

Interpretation of emerging symptoms. In the course of the clinical examination, symptoms can be detected to help the cause of tremor.

The type of tremor and the nature of the ear is important for the identification of the cause of hypertension. Quiet tremors are often associated with Parkinson's ailments, especially when there is a one-sided ear, or it can help to promote the isolation of tremors in the ears, voices, or legs.

Intensive tremor may be due to the appearance of a lesion of the corns, or it can also be prevented in case of disseminated sclerosis and Wilson's ailments.

Postural tremor can be physiological, so talk about the manifestation of an emotional tremor at the same time as an onset of the ear; in case of rapid diagnosis of postural tremor, it is necessary to see the variants of toxic or metabolic damage.

The important options for the sensory tremor are often inoperatively diagnosed as Parkinson's ailment, prote correct diagnosis can be used for deliveries in case of retinal analysis of specific characteristics of tremor.

With a raptor cob, abo the step of pro-progressing tremor, it is necessary to have a stroke, sclerosis, or psychogenic genesis. The rapid response to the use of a drug to reduce drug-induced tremor to acne. The diagnosis of tremors in the presence of agitation, tachycardia and arterial hypertension in the first place of hospitalization can be said about the manifestation of alcohol withdrawal syndrome.

I especially respect the way they come and go. Lesions can be spared in case of rosy sclerosis, strokes, Parkinson's ailments or lesions of the corns. With an essential tremor of the course, as a rule, do not change. With Parkinson's ailments, the shuffling move with a changed base is spared, and with lesions of the corns, it is ataxic with an expanded base. The movement can be chimeric and non-perceptible characteristics with a psychogenic tremor.

Foldable see tremor, deadened minority in case of increased respect, as well as the development of the affected hyperkeys by a part of the body, which is sufficient to the rhythm of postulation in the unaffected part of the body, and also testify about the psychogenic genesis of hypertension.

Obezhennya. Even more often, anamnesis and physical condition add to the development of a possible etiology tremor. At the same hour, an MRI scan is required, or a CT scan of the brain, if:

• tremor Vinik Raptovo;
• MAKE MISCE STROMKE OF PROGRESSION OF SYMPTOMATICS;
• the appearance of additional neurological symptoms allow the suspicion of an insult, a demoralization of the disease or a structural damage to the brain.

In deyakih patsієntіv (on pіdstavі vіdpovіdnih anamnesis i danih fіzikalnogo Glancing) bude neobhіdno doslіdzhuvati rіvnі i thyrotropin thyroxine (T4) of metoyu viklyuchennya gіpertireozu, kaltsіyu i parathyroid hormone - for viklyuchennya hyperparathyroidism and takozh rіven glucose - for viklyuchennya gіperglіkemії.

If a patient has an encephalopathy that is toxic, the reason for the development, as a rule, is not a reaction, a protest against a family and an American in the blood can be helped in the diagnosis. With the manifestation of non-noisy refractory arterial hypertension, it is necessary to increase the concentration of metanephrinous metanephrine in the blood plasma; as soon as the patient with tremor is less than 40 years old and his family history is not tight because of good tremor, followed by the development of ceruloplasm in syrovaty and blood and eccentricity.

Uninvolved on those electromyography, you can help differentiate the true tremor from these rukhovykh (for example, myoclonus, clonuses, leathery epilepsy, or even epilepsia until partial continuity) At the same hour, elektroneuromyography can help with diagnosed polyneuropathies. any reason tremor (as such is transmitted to the presentation of key tributes).

lіkuvannya tremor

Physiological tremor. If you do not show it too tight for the patient, it is not necessary to do it.

Increased physiological tremor in the presence of a sharp increase in alcohol intake or thyrotoxicosis decrease with a correction to lie at the base.

People who suffer from tremors and chronically tricky legs may have effective recognition oral benzodiazepines, however, is a unique and trivial drug. At times, there is a tremor of dressing with a reception drugs For an episode of anxiety, it is often effective to consume propranolol. In case of ineffectiveness and abnormal tolerance (3-adrenergic blockers are more likely to be prescribed to primidon.

Essential tremor. As a rule, it is effective to consume propranolol (as well as β-adrenergic blockers) or primidone.

Cerebral tremor. Effective drug treatment is not insane; inodi add methods physical injection(For example, navantazhennya urazhenoї kіntsіvki vagoyu or recommendation to patients napruzhuvati proximal groups of mujazіv kіntsіvki before rush hour).

Parkinson's tremor. It is necessary to get rid of the first disease, as a rule, from the intake of anticholinergic drugs and other anti-inflammatory drugs.

Invalid tremor. In patients with severe disabilities, refractory to drug treatment with tremor can be justified by surgical treatment: stereotaxic thalamotomy or continuous stimulation of glibious structures of the brain. So itself, and with Parkinson's ailment, when the ear of the thalamus is stimulated or the subtalamous nuclei, the swelling of the tremor significantly changes.

Features of diagnostics and treatment of tremor in patients with kidney disease

For young people with wickedness, development of tremor is characteristic, protesting does not occur for medical aid... Unimportant to those who have an emotional tremor greater than the enlargement of middle-aged people, it is necessary to take an anamnesis and to carry out physical conditions for the development of tremors.

In young people, sometimes small doses of drugs may provoke tremors, so it is necessary to see the possibility of lowering the dose in the form of a trivial dose of drugs to the least effective. Let us take the rank of lithuanian patients who are more resistant to development of non-essential reactions from drugs used for treating tremors of drugs (for example, anticholinergics); In connection with the cym, it is necessary to take care of the protection of the young people, as, as a rule, in smaller doses.

Tremor can significantly reduce the functional capacity of young patients, especially if they have a breakdown in rudimentary or cognitive spheres. Likuvalnaya fizkultura і Ergotherapy can be learned by the patients of simple ruk models, and the vicariousness of additional annexes can also help to adapt the life of the ailing.

Essential and senile tremor

Ethiology of non-homeopathic tremor. There are both sporadic and falloffs (with an autosomal dominant type of transmission) in the form of emotional tremor.

Symptoms. For the first time, the disease can manifest itself in the child. In some cases, the symptoms change to alcohol or drugs in the benzodiazepine series. Senile tremor is a type of senile tremor with a small ear. The offensive form is clinically manifested in the main kinetic tremor with the variability of the postural component with a frequency of 7-9 Hz.

The tremor is often asymmetric, fluttering, as a rule, distal viddili kintsivok, earlier - the area of ​​the head and wider, later - voices. A tremor will be accepted at the same time, collapses, which can be especially accurate, hyperactive and hypercapacitive. Calm tremor and intensive tremor (On new stage Intense component of tremor may be present for a sensory tremor) with this disease it is not possible!

Differential diagnostics is carried out with advanced forms of trembling hypertension:

• physiological tremor (does not require treatment);
• tremor, vicious malignancies with amphetamines, theophilin, coffee, taking antidepressants, drugs in lithium, steroid hormones, antipsychotics, valproic acid salts, thyrotoxicosis, hypochloride, urolithiasis
• Combined tremor, which includes tremor calm and accijna tremor (dentator-rubral tremor, or Holmes tremor);
• tremor, alcoholic or benzodiazepine withdrawal;
• hepatolenticular degeneration.

Conversation with a patient. It is necessary to explain to the patient that his illness is not infallible for life. Autogenous trenuvannya method can help in situations, to provoke tremors.

• propranolol (anaprilin, obsidan);
• metoprolol (volodin is apparently cardioselective, in patients with bronchial asthma I can change before propranolol);
• nadolol (corgard), (zruchny in zastosuvannі - in order to add one dose - we reduce the drug price in patients with low compliance);
• pindolol (viskі). Prototype indications: bronchial asthma, Іnsulіnosalezhniy cukroviy diabet.

Uwaga! There is a slid of a unique combination of β-blockers and antiarrhythmic disorders in case of bradycardia, arterial hypotension and impaired function! A slid of a unique rapid increase in the intake of β-blockers (concentration of circulating catecholamines appears in the blood at the same time)!

Antidote: iv orciprenal sulfate.

• Benzodiazepini, for example, diazepam (relanium); On the other hand, it is not safe for likarsky fallowness, it is more beautiful to be stashed occasionally (if necessary), due to the urahuvannya of the special features of the patient.
• Prolonged clozapine (In important cases of sensory tremor, a number of fachivts are allowed to be consumed by clozapine) and nimodipin is not primed.
• Anticholinergic and ineffective.

Surgical treatment: with important forms of illness, stereotaxic subthalamotomy is shown, or post-high-frequency stimulation of the thalamus.

orthostatic tremor

Symptoms. High-frequency tremor in the legs і tulub, it appears only when standing at an isometric speed of the muscles. It is possible, є a variant of an emotional tremor.

• Clonazepam (antelepsin, pivotril).
• Antiepileptic drugs: primidone (hexamidine), phenobarbital (luminal).
• Gabapentin (Neurontin). Controlled dosages were not carried out.

Intensive tremor

Reasons. Intensive tremor often occurs in case of rosy sclerosis, convulsive disease, puffins, hepatolenticular degeneration and dressings for damaged cerebral pulses (dentate, corky nucleus, cuspid).

• combination of izoniazide with pyridoxine (vitamin B 6).
• memantin (Akatinol) and anticholinergic for low efficiency.

Khirurgichesky lykuvannya. Stereotactic subthalamotomy is especially indicated for unilateral tremor.

acute tremor

These are short-term repetitive stereotypes, in a large number of sleeves (head wrap, grimaces, shoulder wrap, shoulders, etc.), some vocal (coughing, sensory nose, etc.) which can be used for an hour. Repeated vocalizations, for example, such as imitational phenomena (so-called echolalia / exopraxia or palilalii / palipraksii), are folding tics. The stench can be obscene (coprolalia / copropraxia). The order of idiopathic tics in the form and second form - in the syndrome obtrusive campsі in the case of ingestion of certain drugs (antipsychotics, antiepileptic drugs). Often tics are supravodzhuyutsya mental disorders.

Localized tics, for example, in the area of ​​an individual, develop perch for all children and can be promoted for a short period of time for an hour.

Generalized tics є Gilles de la Tourette's syndrome: for a new characteristic of the appearance of motor and vocal tics, an ear of sickness before the 20th fate of life and the triviality of ailments more than one fate. The family's character is not often observed in this disease.

Tremor is a rhythmic, regular, stereotypical ruch with a tremor characteristic of a specific skin form, a frequency and most often with a small amount of ruch. To carry out a differential diagnosis, for example, with the urahuvannya of the minds, in which there is a tremor.

Physiological tremor with a frequency of 8-12 per second is even lower in amplitude, for its manifestation it is especially necessary for additional assistance.

With a tremor, calm tremors appear in quiet drops, if parts of the body are not strong enough to be heavy. Tse is characteristic of parkinsonian tremor. Win accentu in distal views kintzivok, the frequency of the warehouse is 4-6 per second, the amplitude of the temporal direction, characteristic of the original and original hand and fingers. At the іnthensionnoe rukhs, wіn timchasovo znikaє. Before the tremor is calm, it is more common in young patients for the duration of the day and in those who are showing parkinsonism. in a cycle of vines, the wine does not progress, in the process the head is drawn in, and also the wine is characteristic of Wilson's ailment.

Aktsiyny tremor appears with pressure muscularity: for when a part of the body is lost, it is heavy (postural tremor), or if it is too late (kinetic tremor): it is overwhelmed in distal symptoms. The most common reason to serve as an emotional tremor (in the summer time to speak about senile tremor), 60% of the cases are of a recessive nature. The frequency becomes 8-13 per second, at least one hour it changes, and the amplitude increases. Prior to typical situations, when there is an emotional tremor, it will adapt and break down the activity;

Asterixis ("flapping tremor") is a special form of accienny tremor - a part of the nervous breakdown of the brushes, which is characteristic of the liver disease, as well as Wilson's ailments and children. In the Danish hour, it is interpreted as pathological myoclonus (div. Vishche).

Rubral tremor (synonymy - mesencephalic, Holmes tremor) is a common (3-4 Hz) tremor with a calm tremor (more swelling) tremor, which is spontaneous in case of midbrain lesions.

Tremor is susceptible to susceptible to polyneuropathies.

Intensive tremor, the titles are also atheistic, due to dressings from the cerebellar ataxis and a severe lesion of the dentate nucleus of any eventual ligaments. Winning in calmness, albeit in the midst of intensive Russia, it grows more pivoting, less more precisely, it is necessary to come and get closer to the part of the house to the point of further notice. For example, it’s good to take a finger-nose test. Especially often, a form of tremor occurs in case of rosy sclerosis. The term primary orthostatic tremor means inability when standing, as it is supervised by a high-frequency synchronous tremor of the mucous membrane, which only occurs when electrophysiological illnesses occur. A special form is psychogenic tremor. There can be some kind of tremor.

Especially often, one is surrounded by one kind, but one is irregular, high-class, and in most cases has a dramatic, hostile character. When the patient is released, the tremor changes abnormally. With a passive fixation of a three-part part, a three-part part is started. Generalized form of psychogenic tremor is described in soldiers before the hour of the First Holy Day. In case of Charcot-Mari-Tooth ailment, weakened by the X-type type, tremor and paroxysmal short-hour damage to the function of the central nervous system is described, as well as the signal on the MRI of the skull. Premutations for the gene "X-chromosome creep" can be superficial to juvenile tremor, ataxis, impaired walking and cognitive disorder in young people.

Tremor - scho tse take, cause a diagnosis, suspicions, symptoms and methods of treatment

One of the manifestations of unhealthy central and peripheral nervous systems is tremor. Zagvoryuvannya is characterized by the rhythmic kolyvannya of the small parts of the tila. most often mimic rukhs heads and hands. In addition to the damage to the nervous system, the whole camp can be used to induce intoxication to organisms, endocrine pathologies, somatic and other diseases.

Sho take tremor

For the most part, the term means "tremtinnya". Tremor is a quick way of thinking about it or tremor in terms of mimic character. Vinikak pathology in case of a good Russia, or in the camp of calm. M'yazovy fast-moving often allow the visonuvati only to the rude robot, and those who are not able to use other motor skills are inaccessible to the sick. For example, stick a thread into the head of the head, or in a beautiful handwriting, you can write to the patient smoothly.

Pidsilu tremor of kintzivok overwhelming myazove stress, increased concentration of respect, stronger instability, overcooling. The most frequent ailment is the enemy's hand, before a part of the body, roztashovani in the middle of the tulub. People who are more smart to the momentary tremors of ideas, people who are sick, can develop in a young age. Often, the Danish country is not considered to be an independent disease. Tremor tila, head or hands to get involved in one of the symptoms of numerical ailments.

cause

Mimic fasting musculature can be familiar with dysfunction of the brain dysfunction, which controls the muscle system. In addition to the tremor of the hands or the head, it is often inflicted in cases of malignant neurological disorders, for example, disseminated sclerosis, craniocerebral trauma, insult, neurodegenerative pathologies, which develop brain zones and

There are some reasons for provoking a tremor of myaziv tila:

• a decrease in the amount of blood in the blood, like a wine with diabetes (hypoglycemia);
• trivial depression camp;
• drug withdrawal;
• otrunnya organizmu toxic words;
• nirkova or pechinka lack;
• side effects of medicines;
• genetically impaired Vilson-Konovalov, the essence of the destruction of the metabolism of the medium;
• ushkodzhennya of the motor center of the brain for an hour with injuries;
• degenerative damage due to unhealthy etiology, as it leads to the total loss of blood cells to the brain;
• abscesses or puffy processes in the corns;
• a state of deterioration of blood circulation on the brain, which supplies blood to the brain;
• ominous alcoholic drinks;
• Esential tremor, or Minor's ailment, with a family-like, uncomfortable, good-natured character;
• інші pathology of the endocrine system;
• atherosclerosis of the brain (it develops as a result of accumulation on the walls of the capillaries of cholesterol plaques, through which the arteries are sounded), which leads to the development of chronic cerebral blood circulation.

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Classification

per key signs tremor on static and dynamic. The first to manifest itself in tranquility, if there is a tremor of the unruly part of the soul. Often, it is diagnosed with pathologies that are supervised by the syndrome of parkinsonism. Dynamical aboaccional tremor is manifested in case of fast-flowing meat, as it may not be expected to cause it to collapse. It is characterized by lesions of the corns, stovbur to the brain and the sounds between them.

There are some types of dynamic tremors: postural tremor, kinetic (intellectual). First vinikє with a sparing position, for example, with hands tight forward. Intense tremor in Russian, or when close to the mark, for example, when you rub your finger in nis. Also, the ailment is classified according to the frequency of colony (general 3-5 Hz, fast 6-12 Hz) and according to ethology. Falling aside, cause development, ailment buvaє:

1. Primordial. The disease manifests itself independently, without being a symptom of the disease.
2. Secondary. To develop in case of acceleration of other pathologies (microcephaly, polyneuropathy, mediatorial neurochemical imbalance, thyrotoxicosis, immobility or poor health of the nervous system and others).
3. Ruinuvannya of the brain system. Tremor is caused by degenerative processes in the brain.

Fakhivtsi develop a lot of types of tremor, the middle ones are often diagnosed:

1. Physiological. More importantly, postural tremors of cues and other parts of the body (tremor of the poop, shia, lips, etc.). Growing up on aphids, frustrated with cheeky words. Physiological splashing tremors are often due to a trivial binge.
2. Esentsialny. Kinetic or postural collapse of hands, which can be transmitted in recessions. The head, voices, sounds, lips, tongue, legs, tulub are then delivered to the hands. Once before the tremors, there will be a broken writing (literal spasm) and a slight rivn of crankiness.
3. Parkinsonicheskiy. Tremtynnya calm, as weak as the hour goes down, or if you can do it when you are open, or when you walk. I would like a parkinsonic view of the characteristic with Parkinson's ailments, but sometimes to manifest itself in those who are ill, such as, for example, with a complex atrophy. Often spostering in the hands, or else it can start to play out, lips, legs, head.
4. Mozochkovy. In the main, there is an intense tremor, albeit in case of advanced sclerosis, the vertebral and postural, which retracts the proximal viddili of the children, the tulub, the head.
5. Mesencephalic (rubral, midbrain). Combination of kinetic and postural tremor. The whole kind of sickness often manifests itself in the presence of an unguarded middle brain, earlier in case of pathological processes in the thalamus.
6. Dystonic. Diagnosis in ailments from focal or generalized dystonia. Characterized by manifestations of asymmetric tremor. It is not uncommon for a dystonic posture, if you try to rely on hyperkeys when you try the patient. The hour of correcting gestures changes.
7. Neuropathic. Postural-kinetic trematinia, like vinikє in case of recessionary motor neuropathy of type 1, dysproteinemic polyneuropathy, chronic demilinizing polyradiculoneuropathy, porbophilic atopathy

symptoms

Klinichny show a tremor to lie down in the sight of a disease:

1. Parkinsonicheskiy. Before the hour collapses, the amplitude of the collapse changes, and in the calm it grows. Symptoms will disappear more often. At the early hour, the camp is one-sided, asymmetric or asynchronous, if you tremble with one hand and one leg in a different amplitude.
2. Esentsialny. Often there is a two-sided tremming, as it goes down when alcohol is consumed, but it’s not like coffee. Tsey kind of tremor can calm down or develop sporadically. Characteristics and severity of pathology in members of the same family are seen in wide gaps.
3. Mesencephalic. A sick tremor appears in pictures, protested to the side of the brain, and the bully is attacked.
4. Neuropathic. Tremtinnya z'yavlyaetsya rapt, often in stressful situations. Then there may be a remission.
5. Dystonic. Vidminna of rice - a tremor of the vine is mimic in any part of the body. Dystonic type of convalescence in the presence of vegetative-vascular dystonia in the patient. Show often asymmetric.
6. Physiological. Maybe winicati at the be-yakogo great people... The symptom is not pathological. Physiological tremor is caused by alcohol and spoky syrup.

tremor

value

Tremor is a mimic rhythm of the rhythm of a part of til with a singing frequency in a calm (calm tremor), for example, when you see it as a ruch (tremor of a dey or an action).

cause

per ethiological factors razrіznyayut first (spudkovy or sporadic) and second (symptomatic at the very lesions of the nervous system) tremor.

The pathogenesis of tremor is based on synchronous rhythmically generating the potential of movement (oscillation) by neuronal groups in the lower oils and in the green hump, as well as in the structures of the toothed, curly, crusty and vermiform nuclei. In addition, the role of afferent sensory impulses from the periphery on the vertebral column is also significant in the diagnosis of tremor.

Increased physiological tremors are more often associated with physical and mental problems, with alcohol, with hypoglycemia, pheochromocytomy, thyrotoxicosis and high-frequency postural tremor of the hands.

symptoms

Along with etiology, tremors are seen onset symptoms. The tremor is calm, good, if you have ailments to sit or lie down. Win accommodate at active rukhs healthy kintsivkoyu, with hvilyuvanny, rosumovy napruzi and change, if there is an active collapse, uzhenoi kintsivkoyu (tremor with Parkinson's ailment).

Tremor of dії (aktsіyny) іnіkіє tіlki with fast m'yazіv uzhenoї kіntsіvka. Often, among the minds, when there is a tremor of the child, it’s a bit of a kinetic (winin’s when it’s a kid), postural (when it’s a problem when it’s like a dying day) item ).

Kinetic tremor lasts for a simple (winy with simple collapses) for a short time (for an increase or for a fall) and an intense tremor, for a tremor for a collapse

Specific tremor is often described as tremor of hands in musicians, voices, handwriting. The tremor of the voice and leaves can be drawn from the distortion of the voice and the hand. Dystonic tremor of the vocal cords is known for an hour sleep, emotional growth.

Orthostatic tremor, as a whimper, in the legs only when standing and when walking or lying down. Win supravodzhutsya postural breakdowns and appear immediately when you get up on your feet, step by step do it, go from nig to tulub. The ailment is beginning to rise to the side with a growing frequency and amplitude and not to fall, he is guilty to the point of being pricked or collapsing (step from foot to foot, walk). Orthostatic tremor does not change when drinking alcohol and doesn’t change because of alcohol.

Psychogenic tremor can be diagnosed, if the tremor in one symptom changes with the other symptoms, with the anxiety of the sick person, with the development of the disease in one and the same sick intentional postural tremor, when the symptoms appear

Polyneuropathic tremor is manifested as kinetic and (or) postural tremor of the symptoms, most often in case of demilinating neuropathies.

Essential tremors (congestion, family, idiopathic, good) occur with the frequency of cases in the population at the same frequency in men and women, often in 40 years. Ingestion is genetically determined and transmitted in an autosomal dominant manner. The clinical picture of an emotional tremor is characterized by a bilateral, symmetric postural kinetic tremor of the hands, often with an internal component. Ridko vinikє tremor calm. In the case of a tremor of the hands, a tremor of the head, voices and podboriddya will occur, as well as symptoms of extrapiracy (hypomimia) and cerebellar symptoms occur. In the wake of a sick person, the frequency of the tremor changes, and the amplitude is less of a build-up. Tremor will ease with alcohol.

diagnostics

Using the method of diagnostics, it is necessary to determine the neurological situation for assessing the function of nerves, motor and sensory tools. The patient can be proponated to stick a finger at the tip of the nose, namaluvati spiral or viconati іnshі zavdannya or right.

Likar can indicate an electromyogram for diagnostics of the linkage of any nerve problems. The whole test shows the stimulation of the nerve activity and the stimulation of the nerves. In large cases, tremor is easy to appear with finger-nose and puffy-colonic test.

prophylaxis

The most common treatment for the tremor of the disease is in the asserted cause and in the signs of propranolol or some of the β-blockers. Krim propranalol, zasosovyut primidone (hexamidine), clonazepam, barbіturati, valproati, theophilin, nimodipine. You can combine drugs, especially propranolol and primidone.

In case of some types of tremor, especially, conservative therapy is not effective, surgical treatment... Using this method, I can visualize the stereotaxic ruining of the singular structures of the brain (the ventrolateral posterior nucleus of the hypothalamus, the hipothalamus, the subthalamic dilyanka) or high-frequency stimulation.

In that case, if the tremor provokes, whether it is the impairment of the function of the body, it is taken into account the pathology.

Physiological tremor characteristic of skin healthy people. As a rule, the amplitude of the floor is insignificant;

The tremor of the kids in newborns is caused by the immaturity of the child's nervous system. These are the most frequent є the norm or a time-consuming phenomenon.

It’s even more obvious that there’s a tremor of hands by stretching out two types of problems, and not to lay down on the basis of emotional experiences and physical problems, but rather to the development of pathology and advice from a person. The reasons for this may be different - from an overdose of drugs to important ailments of the central nervous system.

REASONS

A common cause of tremor of hands in children and people of a young age is nervousness, overwork, before the colony becomes a lot of endocrine disruptions and deranged processes. Most often, tremors serve as a sign of alcohol.

Treminnya of small parts of the body may be amazed by the pathologies of the nervous system and one of the primary signs of Parkinson's ailment in people of a kidnapped age can be seen. In addition, tremor is susceptible to the presence of a mucous membrane, or if it is tied to it in the brain.

The mimic parts of the bed can be of a decisive familiarity. A characteristic symptom of a similar etiology is a loss or weakening of the tremulousness of drinking alcohol.

KLASIFIKATSIYA

Classification of tremor for key signs:

• Calm tremor (static) - a tremor in a weak part of the body with Parkinson's ailments and pathologies, which are supervised by Parkinson's syndrome.
• Tremor dії (dynamic) - appears at the moment of speedy m'yazіv, as you don’t want to make it to ruins. It is characterized by lesions of the stovbur to the brain, corns and joints between them. There are two types of images: postural (with sparing positions) and kinetic (with active movements and oversupply).

Classification of tremor by ethology:

• The first is to appear independently and not to be tied with those who are ill.
• The second one is to develop as an acceleration of the other pathological conditions.
• Tremor, which is the result of degenerative processes in the brain.

Classification of tremor in the presence of the frequency of occurrence:

SYMPTOMS

Klinichny show tremors in fallowness in the form of:

• Parkinsonicheskiy (3-7 Hz). Become calm to tremor. It’s going to change for an hour, so that in a calm camp we’ll turn more and more. If the symptoms disappear, the sleep will still show itself in the singing phases of sleep. A whole symptom є I recognize Parkinson's ailments and ailments with similar Parkinsonian syndromes. Most often it is in the hands of the hand, but it can be connected to the head, lips, tongue, legs, and in the vicinity of the head. The tsei stan is a trivial hour, one-sided, often asymmetric, to tremble one arm and one leg.
• Essential (7-12 Hz). This kind of tremor is considered postural. Most often tremtynnya is bilateral, hostile to the hands, to go down after receiving alcoholic beverages, Ale will accept the coffee. The process can have backs of the lower pictures, head, voices, lips and tulubs. In 25% of people with such a syndrome, deterioration of the letter, the muscular tone of the hands, and a slight crank is more likely. Qia signs can be used to develop sporadically. When looking at the same seven characteristics, tremors and their severity in її members vary in wide gaps. On the basis of parkinsonian, there is a high frequency and in some cases it does not develop from the hands, but from the other parts of the body.
• Mesencephalic (rubral, Holmes tremor) - the combination of calm tremor, postural, as well as intentional tremor. The first name is to sound like "midbrain", as it is tremulous to manifest itself in case of malignant structures of the thalamus, as a result of an insult, trauma to the skull and brain, swelling processes and in case of rosy sclerosis. Treminnya appears in the pictures, opposite to those sides of the middle brain, as it was pathologically changed.
• Medullary (3-5 Hz). Pusky corns can lead to development of tremor, which is very kinetic and postural in nature. In the process of obtaining the proximal view of the dots, the tulub and the head. The reasons for this phenomenon are degenerative atrophic processes, Wilson's ailment, sclerosis, medication, alcohol, depression of sensory neuropathy, trauma to the cerebral cortex and cerebrospinal column.
• Neuropathic tremor may occur in calm, as well as with postural-kinetic collapse. The frequency of tremors increases in stressful situations. Show the syndrome of raptus, then the infusion of remisia.
• Dystonic tremor appears with dystonia. Yogo vіdminnuyu rice є health mimo viklikati tremіnnya in any part of the house, but not affected by ailments. Most often, it will be asymmetric, if there are two symptoms of symptoms, the symptoms will develop on them.
• Physiological tremor manifests itself in healthy skin people and does not carry a pathological meaning. The frequency of the kolivannya is in the range of 6-12 Hz. This type of tremor appears when the arms are pulled forward. Kicks often occur in stressful situations, such as, in case of impaired metabolism (thyrotoxicosis, adrenal hypertension, alcohol consumption), as well as reactions to the intake of medications (ingestion of phosphodiesterase), coffee Під дією zaspok_ilive zasob_v and in alcohol physiological tremor is attributed.

DIAGNOSTICS

When a patient's scars for a tremor, the patient's presence at a given reason, the degree of variation and particularities, I will show tremor in different situations.

Methods of diagnostics for skargs for tremor:

• Inspection and anamnesis. The patient will learn about the peculiarities of showing tremors: for which circumstances they should be repaired, how could they provoke such a camp. It is also to reverse the manifestation of a recessionary official.
• Functional test with the method of reconverting the physical abilities of the patient.
• The "rapid" method is a high-frequency video recording with an advancing control over the frames of the material.
• Tremography - the fixation of colival cuffs in three projections.
• Electromyography is supplementary to the value of the number and quality of the number.
• Electroencephalography electrical activity brain.
• CT and MRI are the signs of structural changes in the brain.

LIKUVANNYA

Methods for treating mild and benign tremors:

• the course of relaxation procedures;
• dichny gymnastics;
• zaspokіylivі lykarskі drugs;
• sufficient sleep and failures;
• taking baths with spokylivy pickles of herbs.

Likuvannya tremor, which creates a normal life:

• the antagonism of beta-adrenergic blockers to change the amplitude of the colony, and the symptoms;
• low dosage of benzodiazepines to reduce the rate of tremor;
• low doses of barbiturates in combination with benzodiazepines and beta-adrenergic receptors;
• іngіbіtory MAO-b і levodopi are recognized with Parkinson's ailments;
• thyrostatic drugs for hyperthyroidism to induce the synthesis of thyroid-stimulating hormones;
• tranquilizer and zaspookilivi preparations;
• protisudomnі drugs;
• drugs that stimulate blood flow to the brain;
• surgical involvement(Stereotactic thalamotomy) with the help of a glycemic stimulation of the thalamic nuclei by the electrodome can help in case of revolves of numbness to drug treatment, if the tremor impairs the physiological function.

It is enough to shake off the tremor to go out of the way, ale modern drugs add to the meaningful polypsy of the life of people, as they suffer from a disease.

Folding

Ymovirni accelerated tremor:

• the unhappiness of engaging in professional activity and well-being of simple activities;
• difficult to adapt to social media;
• Difficulty moving function with tremor pidboriddya, musing of disguise and movi;
• the destruction of the psychological and emotional camp.

PROFILACTIC

Prophylactic come in to reduce the turn of tremor:

• pomіrnі physical navantazhennya (probing, swimming);
• povnotsinny ratsion;
• sparing at fakhivtsya (especially with a tight family history);
• іstotne obmezhennya to drink, scho to revenge coffee;
• alcohol consumption;
• arterial grip control.

FORECAST FOR ARUNGE

There is no specific treatment for suppressing tremors. Most often they are recruited to stabilize the sick person, to reduce the incidence of symptoms and improve the quality of their life.

In case of essential tremor, the frequency of colony with rocks will decrease, but with the development of the first familiar pathology in the older person, it will lead to a rapid increase in symptoms and the growth of people. At the same hour, the tremor is uncomfortable є by the physiological norm and to indicate the impermanence of the nervous system. Expect to pass independently, but in children older than three months, the problem is due to the cause of the increased respect for the failures, since tremors can be a very common pathology.

The ethiology of tremor is even more useful, because the prognosis is infused with a primary diagnosis, a symptom of a wine and a.

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Microcephaly is a congenital pathology, when people do not develop the brain and cranial bones insufficiently, and only parts of the brain develop.

IMPORTANT. Information on the site is useful for pre-existing purposes. Do not indulge in self-abuse. At the first signs of becoming ill, it turns out to be a lykar.

tremor

Tremor - ailment characteristic symptoms which is the manifestation of the mimicry of the singing part of the body. Such communication provokes alternating or synchronous speed of reciprocal-internal communication. Tremor can manifest itself practically in the be-like part of the body, but in the main in the sick, tremors in the head and hand tremors are more common. At the same time, a tremulous voice is started by the people, and in the surroundings the shaking of the tulub and steps appears.

One of the most common types of tremors on the current day is accepted as an emotional tremor. Danes can be diagnosed with some members of the family. Particularly wrinkled tremor of the hands, if the patient is a singing object or a hand, it will affect something. However, for an hour the tremor does not occur.

The reasons for this disease may be the status of ailments (pechinka deficiency, frustration of lithium, mercury, mish'yak), as well as drugs, which can be infused into the camp of the nervous system (for example, antidepressants). Tremor appears in quality malignant fever for a number of drugs.

See and symptoms of tremor

On the current day, there are few types of tremors. Tremor good-natured - nibilsh widely roho system... Also, getting sick of inodi protest is important. It is mainly manifested in children and youths. As a rule, the first to manifest is a tremor of the hands: with a couple of one, then - both. The most tremulous thing with hands tight forward. Distant tremors of some parts of the body, and with tremors of the larynx and tongue, it can be difficult. Yogo show yourself to accommodate for an hour of stress, as well as drink alcohol.

Postural tremor - the Danish type of ailment can be a subtle ailment, as well as the result of a high anxiety, the manifestation of hyperfunction thyroid gland... This kind of tremor can also be caused withdrawal syndrome drinking alcohol or drug addiction. Another reason for the manifestation of this kind of tremor is that it is snuffed out by cheeky spikes or an overdose of singing drugs. The whole kind of tremor is characterized by small sweeping, so it is best to show it with the wiry hands and rosy fingers of the ailing one. At the end of the hour, the tremor is not known, but with the strong concentration of the sick person, the symptoms grow.

Intensive tremor occurs when the corns is struck, which is not indicative of a loss of time for an hour of walking. Such ailments are characterized by great-wickedness and trochies of rude ruha, which appear before the hour of fixed movement and day-to-day in the country of calm. Yakshcho the patient will try, curled up his eyes, in a position standing with his hands twisted up to the nose, but not at all.

Asterixis is the most insecure type of this ailment. A lot of a tremor is caused by ailments of Wilson-Konovalov, pechinkovoy, nirkova, dyshally deficiencies, manifestation of damage to the middle brain. For the whole type of tremor, it is characteristic of even more and more irregular hands and niggling.

Tremor is the main symptom of Parkinson's ailment. As a rule, the disease develops in people who have been abducted, the tremor of the hands is cob sign given ailments. Parkinson's ailment is often the cause of disability, protein does not at all flow into the triviality of life.

diagnosis of tremor

It is important to diagnose a tremor, it is important if there is a sign of illness, if you lie in the base, I will show a tremor. For the diagnosis of tremor fachіvets in the first churga due to the beginning of the thіѕ localization, especially thіѕ thе tremor іn thе condition, I respect the characteristic topographic features (so, sometimes only the tremor of one finger, symmetry

When staging a diagnosis, the amplitude-frequency characteristics are measured, then, in case of a turn, I will especially exhibit tremor and dynamism in the background.

Specialist carry out the same description of the disease, as it became the background for the development of the process.

For diagnostics, video analysis is carried out according to the "rapid" method - a systematic examination with a high frequency and confidence in the projection of frames. It is a good idea to use a tremograph as an aid, as you can register a tremograph in three areas, with a dark photo (to fix the picture on the singing segments, to take part in the tremis). The method of electromyography allows for a significant and accurate characteristic of rhythmic hypercriticalities.

lіkuvannya tremor

With the manifestation of a good tremor, the treatment of ailments is generally not necessary. If the tremulous parts of the body twist even more strongly, then the sick person can use the drug propranolol or primidon. If I show a tremor on an occasional basis with emotional pressure, it should be a one-time intake of the drug, which may cause sleep and sleepiness, for example, lorazepam.

With essential tremor, it is indicated complex lykuvannya drugs - beta-blocker antagonists, benzodiazepines and primidone. For the help of beta-blockers, there is a decrease in the amplitude of the tremor, cool picture... Manifest an emotional tremor as well as change when taking benzodiazepines. However, if there is a sign of varto vrahuvati, there is a possibility of developing tolerance as a result of post-implantation of certain medications. That їkh vikoristovuyut not permanently, but in times of consumption. In order to reduce the symptoms of tremor, alcohol is stagnant, protest here is the risk of sinister malignancy. As a therapy for this type of tremor, primidon is indicated at a dose of mg / day. You can also combine it with beta-blockers.

Likuvannya cerebellar tremor, which, as a rule, is not an oily effect. However, there is information about the positive results of therapy with clonazepam and primidone. Greater bends are effective even microstimulation of the thalamus or stereotaxic thalamotomy.

Hvoroba Parkinson's sickness on this day. However, timely and correct therapy can be improved by stopping the development of Parkinson's ailments. So, the patient is recommended to post-vikoristovuvati reed. With a decrease in prasezdatnost і deterioration of the napkin in some way can be recognized by taking the drug levodopa.

for effective treatment tremor is important to carry out with caution and due to the fact that you yourself will become the cause of its manifestation. In the midst of a positive effect, it’s possible to reach the point where there’s a decrease in pressure on the ailing stress factor. Hand tremor can be changed by wearing an important bracelet anyway.

prevention of tremor

To prevent tremor, unique stress situations are required. It is important to follow the tim, but the sick person did not appear to be seen at the same time, as soon as I could. As a rule, the patient is sick with tremors.

If you live, you have fewer products and drinks, more coffee and more people will be seen from the house. also dієvoyu proactive visitє Regularly vikonannya physical rights.

Masha: Klimaksan is not yours for me. Pila is an analogous drug (ci-klimat), the axis is real there.

Olya: With climax, they tormented the heat, they added only the qi-climat

Lisitsya: I bought a yak that time to replace the Suprastin, who was absent from the pharmacy, because she was quietly eating.

Sergiy: I was honored with Persha, the price - less than 100 rubles in our pharmacy! And in a different way.

All materials presented on the site must have a pre-existing and knowledgeable character and cannot be considered a drug by the method of treatment or sufficient advice.

Tremor tila cause lіkuvannya

Tremor is a rhythmic, fast-paced musical instrument of a tulub, or of a mimic character. The term "tremor" means "tremor". Tremtinnya can win for an hour calmly, or even if Russia is happy. Myazovy tremor allows the viconuvati to be more rude to the robot. Most often, tied with other motor skills, twisting. So, for example, it is often necessary to fold a thread into the head of the head, or handwriting. Overcooling, stomlennya, increased concentration of respect, overwhelmed by stress, start to grow up. The most frequent description is the destruction of the enemy of the upper images, before the proximal part of the house. Tremor is the most smart people in the category, but it can also be manifested in a young person.

cause tremors

Before tim, like zyasuvati bureaucrats, who wicked mimic meats of speed, it is necessary to refer to the food: "tremor, so tse take."

Tremor is a mimic rhythmic fast group of music of the singing parts of the body. Most often it’s a signal that there are problems, which can be found in the body, and we’re not surrounded by ill health.

Mimic quickness can be a symptom, we will tie a dysfunctional brain to the brain, as a control of the muscle. In addition, three may come in a number of neurological disorders, for example, sclerosis, insult, craniocerebral auricle, and some neurodegenerative problems, such as a brain disorder, such as

There is a number of other factors that can provoke the development of three types of ideas and ideas:

Atherosclerosis of the brain (as a result of the purchase of cholesterol plaques on the walls of the capillaries, the sound of the arterial vessels is observed), which leads to the development of chronic pathology of cerebral blood circulation;

Minor's ailment is an abnormal tremor, which is a subdued, good-natured ill-health and appears to be non-progressive tremors, more often than not;

Dysfunction of the thyroid gland, as well as changes in hormone purging (thyrotoxicosis) and other pathology of the endocrine system;

The stench of spirits with drinks;

Gostre damaged blood circulation in the brain, especially in the disease, which supplies blood to the brain;

Puffy processes, abscesses in the corns;

Degenerative damage (olivopontocerebellar degeneration): a group of ailments with an unhealthy etiology, which before the onset of treatment of cells in the brain;

Khvoroba Vilson-Konovalov, which is a decline pathology, the essence of a polyagi in the impaired metabolism of medi;

Selected diy of drug drugs;

Pechinkova or nirkov lack of;

Separated by toxic words;

Rizke the decrease in blood ryvnya tsukru, so called hypoglycemia, which is known in diabetics.

In addition, tremors are often diagnosed with sickness, emotional overexertion and physical activity. The price is so called physiological tremty.

tremor symptoms

Shcheb z'yasuvati symptoms of a tremor, it is necessary to have a tremor, as well as the i th form.

Yak bulo is written vishche, treminnya is the most frequent symptom of an ailment, and not an environment of destruction. Appear at the sight of mimic rhythmic speedy sounds. You can see two main types of camp: pathological and physiological. Perche is a diagnosis of serious dysfunctions in the nervous system.

Pathological tremor is one of the symptoms of illness. The other is є lighter in design, but in the case of singing minds in vinyaginous upper pictures. The Danish camp beckon to finish quickly to pass the letter to eliminate the cause. Prior to such reasons, consider: overwhelming physical options, developmental stress factors, the living of people who are politicians, etc.

One of the types of physiological tremors is a tremor when sick. The emergence of a mimic meazy speedy with hvilyuvanny - to finish off a frequent occurrence, as it can manifest itself in a different way. Most of the time, she insisted in a stressful situation or a depressive camp. Tremor in case of hvilyuvanny is manifested by dullness of the hands and fingers of the hands, head, cranks and larynx. Tsey kind of tremor in case of hvilyuvanny є all the deprivation of the general reaction of the body to a flash, hvilyuvannya and urge to pass independently.

It’s possible to try to get rid of a lot of deciduous problems, because it’s not related to the problems of doctors, physical problems, stress, overwhelming alcoholic organisms, that is, the function of a child’s morbidity

It is also possible to classify tremlines in terms of their width - locally and generalized tremlines. Perche - sposter on okremikh dilyankas tuluba (mova, head, kintzivki). Generalized m'yazove speedy is expanded in all directions.

For the amplitude of the tremor, it is possible to change to such forms: small-sized and large-sized.

Behind the peculiarities of the tremor, it is possible to classify a static and dynamic form. The first form is a tremulous calm, splinters are spontaneous and the best is manifested in a relaxed form. Another form is the tse aktsiyna tremtinnya, which can be manifested or will help with active processes. Vono, in his own devil, will be postural, intense and fast. Posturally, the tremor of the vinikє or become stricken with the appearance of any position (for example, the straightened arms in front of oneself). Intensive music of the speedy appears at the vison of other exact rucks (for example, touch the nose with a fingertip).

A tremor of a fast-paced vinnikє or it can be accepted when you have a trickle in a fast-paced camp (for example, a trivial clenching of your fingers at a fist).

The tremor of tila is often caused by malignant alcoholic drinks or chronic alcoholism and is called alcoholic. The described type of tremor is manifested by "shaking" spreading of fingers, it is not easy to spread out on the head, or a tulub individual. The Danish symptom is more often susceptible to ailments from being sick and passing through the church's implantation of spirits. The same situation is observed in drug addicts with withdrawal symptoms.

In case of implantation of narcotic words or the wrong use of certain drugs, it means irregularly small spreading in the fingers or hands. For the weakening of the symptom, it is necessary to take the drug.

The postural tremor is lured, in general, to people who suffer from vegetative dysfunction, overwhelmingly anxious and distressed individuals. The form of the ailment is given, it can be a common pathology of thyroid disease, a number of drugs and alcoholic beverages, and also can be decaying roots. Quite the form of a tremor wiklikє abstinence, frustrated by cheeky words.

Postural tremor is of a small-sweeping nature and more bends, if the hands are taut, and the fingers are loose. It’s okay to do it when you try to concentrate respect, if the individual is able to change the trend, and when Russia doesn’t know.

Іntensionnoe kolivannya vinnikє inaslіdok urazhennya stovbur to the brain or the cerebellum. With this form of tremulousness, it means a great-sized mead of fastness, it is calm in the camp, but it appears when it is straightened, especially when it is reached. Ailments, perebuyuchi in the position standing with closed eyes, straightened and stretched hands, not touching the nose in a snake.

I will give the form of a tremor can be viciously puffy processes in organism, injuries, Konovalov-Wilson's ailment, Suddenly ill, rossyaniy sclerosis.

Tremor of the muscles of the hands, generation of abnormalities of the corns, pathologies of the structures of the peduncle and the stool, the brain appears to be post-mortem.

Naybilsh is not a safe type of mimic meat colivans є asterixis. yogo specialty polyagaє in razmashisstі, arrhythmia, asymmetry speed. Tremtinnya nagaduє lyaskannya krill. The form is given to sposter viklyuchno with a sufficient meat tension.

The described type of tremulousness is summed up with periodic paroxysmal decreases in the tone of the mucous membranes, which lead to the development of the singing position. The very call of asterixis nagadu irregular, splashing tremulous, as it appears when the hand is straightened and the hands are straightened. After a decal of seconds, when the arms are straightened, it is indicated that there are a lot of strictures with the given mittuvim turnings in the number of positions. Analogous smiles appear in case of thin straining of the others.

It is not often possible to promote bilateral asterixis, which appears on the last few days. Tse є the main familiarity with metabolic encephalopathy. Unilateral asterixis is often associated with strokes.

Rhythmic myoclonus is characterized by a rosy tremor of the whole body, which can be used in case of muscular pressure (in case of collapses) and an increase in growth in case of weakened muscular tissue. Given the form of tremtinnya is often a companion of the onset of ailments: developmental pathologies cerebral and pernicious ailments, Wilson's ailments, disseminated sclerosis.

Parkinson's tremor є the inheritance of small children in the brain. With Parkinson's ailments, it is characteristic that there is a tremor in the camp, which is usually less than a cob.

parkinsonicheskiy muscular tremor often asymmetric. It should be manifested in a non-uniform intensity of tremors, for example, liva hand Greetings more, not right. At the same time, the number of people will change, or will increase the knowledge, as the individual will start to grow faster with his hand. When parkinsonism, the ruch is clearly confident, ale virazn.

Spadkovuyu slenderness wicks a small tremor, or else it is called an emotional tremor. Most often they are spontaneous to be with young people, older children. Tsei razvid tremtinnya often appear when trying to correct the position. For an esential tremor, there is a characteristic vibration of a different or average amplitude with an invariable tone of muscles. Sapannya zberіgaєtsya, or do not go down with the upper pictures without support. Treminnya in the camp of calmness sposterigaynya meaningfully, not with Parkinson's ailments.

An essential tremor is introduced into a wider form of a disease. It is often the case that one learns from several members of the family. Wines are manifested in tremors when they are victorious. In other words, the tremor of the winikє with the pressure of the mucus and the ruff of the hands. In twenty-five vidsotkah vipadkiv to mimic m'yazy fast-moving people can come to the easy steps of the crank, the destruction of the letter (literal spasm), small advices the tone of the mucus of the hands, as it does not become stung until the level of rigidity, characteristic of a number of ailments, for example, Parkinson's ailments.

A family tremor is one of the most frequent recessive ailments of the nervous system.

Essential tremor for an hour to sleep with more bends. In addition, if you show your consent, if the individual advances the physical appearance of the upper pictures, for example, with the leaves or the usual goodies. Tobto with other motor skills. Often, in a dozen hour, it will be difficult for the viconanas to build up the buildings. For such people, there is a breakdown of additional annexes, so they can help a viconuvati robot. So, for example, for writing special pens, for setting goodies and specific ones, attach a university straight.

Increase the intensity of the emotional tremor, you can imbibe alcoholic beverages or emotional stress. In addition, family tremors, often may have supernatural neurological pathology, which causes tremors to develop.

Rubral tremor or mid-cerebral tremor is susceptible to dysfunction of the middle brain as a result of an insult, craniocerebral lesions, onset, in case of dementia or swelling processes in the brain. It is characterized by a combination of onset forms of tremor: tremor in the midst of muscular debility, postural tremor and abnormal intentional colony. The qia form of tremor appears in the teeth, the opposite zones of the ear of the middle brain.

One of the options for psychogenic rukhogenic pathologies is psychogenic tremor. The key criteria for this form are three-wheeled raptor cobs, which tend to be more or less static, but not progressively interrupted. In addition, psychogenic reactions are characterized by the manifestation of spontaneous remissions, but also to those psychotherapeutic treatment, complex manifestations of muscle speed (in the evolving world of development, there are ways of developing

Stress overwhelming ailments, whether they form a malignant drink, to take revenge on coffee, spirits, overexertion, thyroid dysfunction, transition period.

lіkuvannya tremor

Basically, be-what kind of nutrition: how do you like tremors? To lie down is correct and competent in diagnostics, as a form of tremor and factor, which provoked its development. Oskilki are the very reasons that gave rise to tremors, to lay down vibrations of therapeutic impairments.

Diagnosis of ailment, which has given rise to a tremor, often presents itself to complete the task, but it can be better for an accurate description of key manifestations.

Sounds, the most important principle in the setting of diagnoses and readings between three types of tremors, and the tremor in the midst of muscular calm, intentional and postural tremors. So, for example, having seen three times of tremor in one patient, it is necessary to describe these and start to build up some self-form. At the same time, there is a clear swelling of the skin in the direction of the vision. For example, a patient may have a gross tremor in a relaxed stance, less postural tremor and less intentional tremor. A similar picture is characteristic of the trembling forms of Parkinson's ailment. The tremors of the poses of Parkinson’s inferiority are characterized by the most significant postural tremors - most of the postural tremors (attracting an important family tremor), or intentional (vernaculars) with pathologies of the cerebral bone.

Інші suttvi principle, how to describe the tremulousness and additionally help to establish the correct diagnosis, how to determine the tactics, such as identifying tremors, such as: localization, cranky colony, amplitude-related frequency characteristics, syndrome of the same

Treminnya can be localized on the small tulub dylyankas: on the upper or lower knots, heads, lower slits, lips, lips, etc. Also, for competent diagnostics, it is necessary to have special features of the rosters (locally or generalized, according to the type) and the topographic rice (for example, the type of fast food, real apples, Orthostatic tremor, proximal accentuation, symmetry / asymmetry).

Up to the parameter of cuddly babies tremming, it is possible to introduce offensive characteristics: flexion-extension, flipping, pronation-supіnation and in.

The parameter of the amplitude-frequency characteristics includes the turnover of the colial ruffles, especially the overrun of the tremors (ear and dynamism).

Syndromes of tremors are called descriptions of all neurological symptoms, such as superficial tremors.

Dotrimannyh vischenenih ambush diagnostics tremtinnya in addition to providing adequate therapy.

Yak shake off a tremor?

To reduce the amount of genetic tremor, practice the sign of the onset of drugs: benzodiazepines, antagonists of beta-blockers and primidon. Beta-adrenergic blockers are used as efficiently as possible. Minimal doses of benzodiazepines also reduce the frequency of family tremors. It can be used as monotherapy or in combination with beta-blockers. It is recommended to take the preparation course in courses, after an hour before they can develop insensitivity.

Drug infusion on the cerebellar tremor is most often not effective. By approaching the therapy of an important cerebellar tremor, microstimulation of the thalamus or stereotaxic thalamotomy is involved.

Propanolol is effective for alcoholic shaking, and for a hangover. to patients in to a young person often admittedly lykarski speech groups of beta-blockers, odors of smell are effective in sliding grip... Patients with a kidney disease, for some alcoholic stagnation, are in the neglected stage, it is recommended to sign Primidon, they are not side-by-side do not break the system on the heart-vascular system.

Likuvannya tremtynnya, sick with ailments Parkinson, including taking drugs similar to dopamine (Pergolid, Ropinirol). Take care of them with great protection, some of them can give rise to such manifestations: dyskinesia, clonus and psychosis. It is also recommended to reduce the incidence of anticholinergic drugs (Benzatropin) and amantadine.

Patients with ruptured sleep can be treated with anticholinergic drugs, such as Levadopa.

In addition, people look for food: how to shake off a tremor, can speed up secrets folk medicine... However, be it self-relieved due to a painful symptom, it is recommended to fix it under the control of fahivts.

Tremor or tremor is a heart of rhythmic movement, which is caused by mimic speed, weakness.

Yak z'yasuvati tse pathology or timchasove manifestation of damage to the central nervous system?

Razrіznyayut two views

1. Tremor of kintzivok and tuluba- a collapse with a frequency of up to 10 Hz (up to 10 repetitions per second), as a wake-up call for the post-construction of a rukhovoy system and organism, as in Russia, so I am calm in the camp. With strong emotions, or great navantazhennyah, show a tremor to accommodate.
2. Another kind of tremor- tse fіksatsіynі eyes, which are characterized by a great frequency, a little amplitude.

Tremor of kintzivok rightfully vvazhaєshim the most widespread distribution of rukhoї function of people. The reason for the diagnosis of a tremor can be a nasty genetics, ale inodi tremor is like a legacy of an important illness.

cause tremors

If you have a tendency to try more than 2 types, if you don’t have a physical experience and emotional experience, then it’s better for all the pathological pathologies in the body.

Pathological tremors can be found on aphids in a series of severe ailments. Likewise, the brain cann’t go through the tremor of the brain.

Razr_znyayut such vidi

symptoms of ailments

Rhythmic collation of parts of the floor, like the bright eye.

Tse can be, for example, tremulous hands, sapannya nig.

Through its wideness diagnosis of tremor not wicked hard at likars. For those who are foldable for diagnostics, they recognize rapid (shvidkisna) zyomka or a thermograph (attached fiksuє tremtinnya in three areas).

Deyaki see a tremor and start with the help of laboratory analyzes, for example, in cases of thyroid disease.

Lіkuvannya tremor kіntsіvok

If the ailment does not have an evil character, then it is necessary to finish to relax procedures, as it will know a nervous spasm, and tremors on the way. Dodatkovo prescribe dichny gymnastics, taking sedatives and taking special baths.

With pathological tremor

In times easy form the patient does not require a special treatment, you need a unique set of non-manual poses;

If people are robotic, it is necessary to find out exactly what they are doing, or if ailments are added to the dishwasher, then it is drug treatment beta-blockers, which reduce the amplitude of the tremulousness, or else they tidy up the pathology.

In an hour, the body can vibrate with a sound, so it is recommended to live the face before an important message for an hour of stressful situations.

Alcohol can be a sign of tremor, ale post-vzhivannya alcohol tse vіrniy shlakh to alcoholism.

To that alcohol in small quantities you can live without a mediocrity in front of a dick, so ailments can be spokyno poobydati.

In especially important cases, if people put indiscretions, it can be done with surgical intervention, in which case the area of ​​the corns is stimulated with an electric strum.

Visnovka has a pathological tremor, it is practically uncomfortable to overcome it, but rather modern medications and successes of neurosurgery can help a sick person become a more important member of the suspension, and not become a hauler for his loved ones.

Tremor is a mimic movement of any part of the body, alternating with synchronous speeds of reciprocal-internal communication.

Diagnostics of the disease, which lies at the base of the tremor, is often even more difficult to solve, for the diagnosis of what is needed for everything it is necessary to correctly describe the syndromic tremor. At the sound of the saying, great significance is given to the principles of the clinician to describe the tremor.

• The most important principle is that there are three types of tremors: calm tremors, postural tremors and intentional tremors. If one and the same sick person have not only a tremor calm, but a postural or an intense tremor, then all types of tremors will be described and re-structured as they are self-evident, I see that the skin is viscous in their appearance. For example, a sick person may have a gross tremor of calmness, a lesser bending postural tremor, and less an intentional tremor. Such a picture is typical for swinging trembling forms of parkinsonism. The main components of the tremor pose within the framework of parkinism give rise to the possibility of a postural tremor (usually for an important emotional tremor), or an intense tremor (in case of cerebral lesions).
• іnshі important principle I will describe the tremor of the offensive:
  • Localization (arms, head, minutiae, lower slit, tongue, lips, cheeks, voices, legs, tulubs), specialty rosodil (according to hemtype, generalizations and inn.), As well as specific topographic tremtynnya tilki great finger either the muscularity of the cranial wall, the tremulousness of the apples, or the orthostatic tremor, the distal or the proximal accentuation of the tremor, symmetry / asymmetry).
  • Rukhovy baby treminnya (flexion of extension; pronation-supіnation; for the type "hooded pigulok", "so-so", "nі-nі"; fleppіng).
  • Amplitude-frequency characteristics, the turn of the tremor, the particularity of the change (option for the debut and for the dynamism).
  • Syndromic tremor, to describe quiet neurological symptoms, on the smallest manifestations of tremors.

Having noted the principles of the description of the tremor syndrome is necessary to change the mind for a successful differential and nosological diagnosis of tremor.

What a wiklika tremor?

• Calm tremor (3.5-6 Hz).
  • Khvorob Parkinson.
  • Secondary (symptomatic) parkinsonism.
  • Syndromes "parkinsonism plus" and those of depression, degenerative illness, which is supervised by the syndrome of parkinsonism (illness of Wilson-Konovalov, Hallerworden-Spatz and many others).
• Postural tremor (6-12 Hz).
  • Physiological tremor.
  • Strengthening (accentuation) physiological tremor (with stress, endocrine disabilities, Intoxication).
  • Good emotional tremor (4-12 Hz): autosomal dominant, sporadic, in some cases with diseases of the central nervous system (Parkinson's ailment, dystonic) and peripheral nervous system (polyneuropathic, sympathetic)
  • In case of organic pathology of the brain (toxic, swollen and other lesions of the corns, Wilson-Konovalov's ailments, neurosyphilis).
• Intensive tremor (3-6 Hz) of brain lesions in the brain, cerebral mucosa and symptoms (development of sclerosis, degeneration and atrophy in the region of the cerebral artery and moss, Vilson-Konovalov's disease, cerebrovascular accidents)
• Rubral tremor.
• Psychogenic tremor.

Neurochemical symptoms with tremor

Before the brain had died, the ailments with an emotional tremor did not show any specific pathomorphological changes of an abnormal neurochemical defect. If you want to control the cerebellar efferents or the afferents, you may experience tremors, which lie in its basis, be it a specific neurochemical defect, to become obscure. Neurovascularization before delaying additionally help the development of neuronal cola, in the pathogenesis of tremor.

see the tremor

tremor calm

Calm tremor with a frequency of 3.5-6 Hz. Low-frequency (most often 4-5 Hz) tremor is calmly carried to the typical manifestations of Parkinson's ailments, as well as problems of the nervous system, which are supervised by Parkinson's syndrome, which is often called parkinsonian tremors. Secondary (symptomatic) parkinsonism (verminous, postencephalic, lycarsky, toxic, posttraumatic, etc.), as a rule, manifests itself in three cases (if it is less typical for verminous forms of parkinsonism), characteristics (low-frequency tremor with calmness with a characteristic rozpodil, interruption and tendency to generalization).

postural tremor

Postural tremor appears in kintsivka at її utrimanny in any position. Tse tremtinnya maє frequency 6-12 Hz. Before postural tremor vіdnosyat fіzіologіchny tremor (asymptomatic tremtіnnya) posileny (aktsentuyovany) fіzіologіchny tremor, scho vinikaє at emotsіynih Stresa abo at іnshih "gіperadrenergіcheskіy" mills (hyperthyroidism, pheochromocytoma, Introduction kofeїnu, noradrenalіnu that іnshih preparatіv) esentsіalny tremor, and takozh tremor with deyakikh organic diseases of the brain (important damage to the corns, Wilson-Konovalov's ailment, neurosyphilis).

Intensive tremor

Intensive tremming is characteristic of the rosy babies, the frequency of which should be 3-5 Hz. Intensive tremor is characteristic for the defeat of the cerebral stubburn, the cornsus and the thymus (development of sclerosis, degeneration and atrophy of the cornsus and the stool in the brain, Vilson-Konovalov's ailment, as well as the swelling toxic damage cereals for the brain). Х diagnostics look for a characteristic concomitant neurological symptomatology, as well as to inform about the loss of blue and blood speech in the stovbur and cerebellum, often with a typical picture on CT or MRI.

Slide of memory, but before the cerebellar variants of tremor, it is not only intentional tremor, but also those phenomena, such as titubation, which appear as rhythmic oscillations of the head and some colossal ).

Rubral tremor

Rubral tremor (more correctly called - middle cerebral tremor) is characterized by a combination of calm tremor (3-5 Hz), more severe postural tremor and maximally pronounced intentional tremor (intensive tremor → spinal tremor → postural tremor). It is found in cases of midbrain problems with strokes, craniocerebral trauma, abo, earlier, with puffy abdominal sclerosis (malignant sclerosis) processes in the brain. Tsey tremor z'yavayutsya in kintzivkah, protolezhnyh fight of the middle brain.

psychogenic tremor

Psychogenic tremor is one of the options for psychogenic rukhogenic disorders. Clinical criteria for psychogenic tremor include a rapid (fast, hemocytogenic) ear, more statically, or rather weak (or not progressing) stretching, the manifestation of spontaneous remissions and a complex of remissions, characteristics of psychotherapy ), the manifestation of clinical dissociations (vibrations of preserving the psychotic functions of the child in the presence of a rough threefold in them), the effectiveness of the placebo, as well as the circumstances of the early warning

physiological tremor

Physiological tremor is present in the norm, ale appear so dimming, that it becomes a little bit like when singing minds. Name the central postural and intensive tremor, low-amplitude and quick (8-13 in 1 second), which appears when hands are worn. Fіzіologіchny tremor zbіlshuєtsya for amplіtudoyu at trivozі, stresі, misrepresented metabolіchnih torn down (napriklad, gіperadrenergіcheskіy will at skasuvannі alcohol, drugs abo at tireotoksikozі) in vіdpovіd on Priya number preparatіv (napriklad, kofeїnu, іnshih іngіbіtorіv fosfodіesterazi, agonіstіv beta-blockers, glyukokortikoїdіv ). Alcohol and sedatives will induce tremors.

There are no serious skarg lіkuvannya not required. Physiologic tremor, which increases when alcohol is consumed or thyrotoxicosis, appears on the liking of cich staniv. Benzodiazepines are usually administered 3-4 times a day (for example, diazepam 2-10 mg, lorazepam 1-2 mg, oxazepam 10-30 mg) to help with tremors on aphids of chronic anxiety, or even a trivial one. Propranolol 20-80 mg viseredin 4 times / day (ie, і інші beta-blockers) is often effective in tremors on trivial medication, for example, fear of an audience. Since beta-adrenergic blockers are ineffective or not tolerated, primidone 50-250 mg can be tried every 3 times / day. One of the most effective small doses of alcohol.

I see a tremor

In the capacity of independent phenomena in the literature, one can guess the titles of dystonic tremor (tremulous spasticity of cranks, tremulous fissure spasm), “rabbit” syndrome (neuroleptic tremor of the lower lip slit). Phenomenologically, one can guess tremins of such rhythmic phenomena, such as asterixis (flapping, negative myoclonus), MYORITM, segmental myoclonus, however, due to the mechanism of the formation of stench, it is not perceived to tremor.

Special forms of tremor (orthostatic tremor, "laughing tremor", voice tremor, pidboriddia tremor - geniospasm) can be carried to variants of an emotional tremor.

The most frequent type of postural and kinetic tremor is physiological tremor, which causes a low amplitude and high frequency (12 cycles / s). Physiologic tremor to accommodate the pain physical navantazhennya, In case of thyrotoxicosis, in the presence of other diseases such as coffee, adrenomimetics, lithium, valproic acid.

emotional tremor

The offensive part of the variant of tremor is the so-called emotional, for a family tremor, which is more powerful, less physiological tremor. An essential tremor can be heard, as well as the head, tongue, lips, voice sounds. A tremor can be tolerated in stress and in important cases, it can lead to the incapacitation of a sick person. Ailments are a variant of a tremor that often disturbs close relatives, but suffers those same illnesses. However, the localization and severity of the tremor in the boundaries of the same family is quite varied. Pictures can be asymmetric, but a strictly one-sided tremor will lead to a coryza of the disease. Tremors often change with drinking alcohol, or more often with coffee, stress or with thyrotoxicosis (ie, with physiological tremor). In young children, tremors are asynchronous - on the basis of synchronous tremors with calmness in Parkinson's ailments. At the junction of ailments that cannot be crushed through a tremor with one hand, a cup with one hand, without shedding it, is more beautiful to cope with a cup of ailments, a cup with two hands is asynchronous - asynchronous hands can often quench one one by one.

Prior dobroyakіsnomu Esentsіalny tremor in danii hour vіdnosyat not tіlki autosomal domіnantny i sporadichno varіanti esentsіalnogo tremtіnnya, ale i Yogo poєdnannya of іnshimi zahvoryuvannyami tsentralnoї i periferichnoї nervovoї system in addition chislі of distonієyu, hvoroboyu Parkіnsona, periferіynimi neuropathy (CIDP, spadkova sensorimotor neyropatіya I type II, SDB, uremic, alcoholic and polyneuropathic).

There are a few options for diagnostic criteria for emotional tremor, below one of the most frequently implanted ones is induced.

Diagnostic criteria for emotional tremor (Rautakoppi et al., 1984).

1. Often there is (take the child for a long time) or a persistent tremor of the brain and / or the head.
2. Postural abo kinetic character of tremor (there may be some kind of intentional component).
3. The incidence of neurological illnesses, acute tremors.
4. The prevalence of anamnestic complaints on the treatment of any drugs that cause tremors.
5. Family history reports of a similar tremor in some members of the family (confirm diagnosis).

Tremor can be found in those with extrapiracy, for example, in myoclonic dystonia, which is characterized by swift, muscular smiles. In some cases, there are orthostatic tremors and postural tremors. During this period, active sounds of a genetic defect in case of essential tremor are being conducted. Until the present hour, it was possible to map the liche gene in the vicinity of the family, however, it did not reach the identification of its product. It is possible, scho zvoryuvannya ma links with multiple genes. Determinants of the family are often determined by their reaction to alcohol, the manifestation of supportive extrapiracytic syndromes (myoclonus, dystonia, parkinsonism). The idea of ​​identifying a genetic defect in children in the old age can be significant, as there are key nuances that are genetically determined, and as they simply represent the phenotypic variability of the disease.

cerebellar tremor

With lesions of the cornsus, the tremor is also very kinetic and postural in nature. Low-frequency oscillations are caused by instability of the proximal vision. At the same hour, the tremor disappear, as the improvement is stabilized. Differentiation of cerebellar and cerebellar types of tremor is not difficult to develop. Mossal tremor will be felt at close range to the mark, while at essential tremor the amplitude of the hyperkeys will be approximately the same during the visit of the whole cycle. In case of urazhennya of the corns, in addition to tremor, it is also indicated that there is a deterioration in the coordination of thin rucks, at that time, when with an essential tremor, coordination of rucks is not awake.

Тікі are short-term repetitive stereotypes, in a large number of sleeves (head wrap, grimaces, shoulder movements, etc.), some vocal (coughing, coughing, sensory pain) You can just get it for an hour. Repeated vocalizations, for example, such as imitational phenomena (so-called echolalia / exopraxia or palilalii / palipraksii), are folding tics. The stench can be obscene (coprolalia / copropraxia). The order of idiopathic tics is in the form and second form - in the syndrome of intrusive stays and in the presence of certain drugs (antipsychotics, antiepileptic drugs). Often tics are supravodzhuyutsya mental disorders.

- localized tics For example, in the area of ​​the individual, the perch develops in all children and can be promoted for a short period of time for an hour.
- generalized tics It is a syndrome of Gilles de la Tourette: for a new characteristic, the presence of motor and vocal tics, an ear of sickness up to the 20th fate of life and the triviality of ailments more than one fate. The family's character is not often observed in this disease.

tremor- rhythmic, regular, stereotypical ruch with a tremor characteristic of the specific skin form, with a frequency and most often with a small amount of ruch. To carry out a differential diagnosis, for example, with the urahuvannya of the minds, in which there is a tremor.

- physiological tremor at a frequency of 8-12 per second, it is even lower amplitude, for its appearance it is extremely necessary to add additional resources.
- At tremor calm the tremulousness appears in quiet conditions, if parts of the body are not strong until the force of hardness. Tse is characteristic of parkinsonian tremor. There is an accent in the distal edges of the fingers, the frequency of the warehouse is 4-6 per second, the amplitude of the temporal direction, characteristic of the original and the original hand of the hand and fingers. At the іnthensionnoe rukhs, wіn timchasovo znikaє. Before the tremor is calm, it is more common in young patients for the duration of the day and in those who are showing parkinsonism. in a cycle of vines, the wine does not progress, in the process the head is drawn in, and also the wine is characteristic of Wilson's ailment.
- acute tremor to appear when there is pressure: for when a part of the body is lost, it is hard (postural tremor), or when it’s too hard (kinetic tremor): it’s overwhelmed in the distal symptoms of symptoms. The most common reason to serve as an emotional tremor (in the summer time to speak about senile tremor), 60% of the cases are of a recessive nature. The frequency becomes 8-13 per second, at least one hour it changes, and the amplitude increases. Prior to typical situations, when there is an emotional tremor, it will adapt and break down the activity;

special form acute tremorє asterixis ("flapping tremor") is a part of the nervous breakdown of the brushes, which is characteristic of the liver disease, as well as Wilson's ailments and deyakyh slugs. In the Danish hour, it is interpreted as pathological myoclonus (div. Vishche).
- Rubral tremor(Synonymy - mesencephalic, Holmes' tremor) is a recurrence of the general (3-4 Hz) tremor with an auxiliary (more swirling) tremor, which can be triggered when the middle brain is affected.

tremor become susceptible to suspect in case of polyneuropathies.
Intensive tremor The titles are also atheistic, depending on the dressings of the cerebellar ataxis and the inherited lesion of the dentate nucleus of any eventual links. Winning in calmness, albeit in the midst of intensive Russia, it grows more pivoting, less more precisely, it is necessary to come and get closer to the part of the house to the point of further notice. For example, it’s good to take a finger-nose test. Especially often, a form of tremor occurs in case of rosy sclerosis. The term primary orthostatic tremor means inability when standing, as it is supervised by a high-frequency synchronous tremor of the mucous membrane, which only occurs when electrophysiological illnesses occur. A special form is psychogenic tremor. There can be some kind of tremor.

Especially often they are surrounded by a single picture, but they are irregular, high-class and wear dramatic in most types, hostile character... When the patient is released, the tremor changes abnormally. With a passive fixation of a three-part part, a three-part part is started. Generalized form of psychogenic tremor is described in soldiers before the hour of the First Holy Day. In case of Charcot-Mari-Tooth ailment, weakened by the X-type type, tremor and paroxysmal short-hour damage to the function of the central nervous system is described, as well as the signal on the MRI of the skull. Premutations for the gene "X-chromosome creep" can be superficial to juvenile tremor, ataxis, impaired walking and cognitive disorder in young people.