Hereditary Benign Tremor Explained: An Inherited Condition Causing Uncontrollable Shaking
Hereditary benign tremor, also known as essential tremor (ET), is a common neurological condition that affects millions of people worldwide. Characterized by involuntary shaking, primarily affecting the hands, arms, and sometimes the head and voice, this condition can significantly impact a person's quality of life.
Fortunately, ongoing research into the genetic factors and potential new treatments for hereditary benign tremor is promising. Research indicates that this condition can be linked to specific genetic mutations, offering hope for future advancements.
Treatment Approaches
The most common treatment options for hereditary benign tremor include a combination of pharmaceutical, conservative, and surgical approaches.
Pharmaceutical Treatments
Pharmaceutical treatments are typically first-line and aim to reduce tremor severity. Commonly used drugs include propranolol, a beta-blocker, which is effective in reducing hand tremors. Primidone, an antiepileptic medication, is also frequently prescribed if propranolol is ineffective or contraindicated. Other medications such as topiramate, gabapentin, and benzodiazepines may be considered as second or third-line options, though their efficacy and tolerability vary.
Conservative Management
Conservative management strategies help improve daily function and reduce symptom impact without drugs. Occupational therapy can assist with tasks using adaptive tools like special cutlery. Speech and language therapy is beneficial for vocal tremors. Patient education on stress reduction and good sleep hygiene is essential, as stress and fatigue can exacerbate tremor severity.
Surgical Treatments
Surgical treatments are reserved for severe cases where medication is insufficient or not tolerated. Deep Brain Stimulation (DBS) involves implanting electrodes in the brain to regulate tremor-related activity and is effective but invasive. MRI-guided Focused Ultrasound (FUS) is a less invasive alternative that uses targeted ultrasound to ablate tremor-causing brain tissue. This option is still relatively new and used mainly when DBS is not suitable.
Lifestyle Changes and Support
Avoiding triggers like stress, caffeine, and fatigue, and practicing relaxation techniques like yoga, meditation, and deep breathing can help reduce tremor severity. Seeking support from support groups or connecting with others who have similar experiences can provide emotional support and practical advice. Regular check-ups can help monitor the condition and adjust treatment as necessary.
While there is currently no cure for hereditary benign tremor, various treatment options can help manage the symptoms and improve quality of life. If you or a loved one is experiencing symptoms of hereditary benign tremor, it is essential to consult a healthcare professional.
[1] Mayo Clinic. (2021). Essential tremor. [online] Available at: https://www.mayoclinic.org/diseases-conditions/essential-tremor/diagnosis-treatment/drc-20376273
[2] National Institute of Neurological Disorders and Stroke. (2021). Essential Tremor Fact Sheet. [online] Available at: https://www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Essential-Tremor-Fact-Sheet
[3] Parkinson's UK. (2021). Essential tremor. [online] Available at: https://www.parkinsons.org.uk/information-and-support/conditions/essential-tremor
[4] International Essential Tremor Foundation. (2021). Deep Brain Stimulation. [online] Available at: https://shriver.org/resources/deep-brain-stimulation/
- Research on essential tremor is exploring the link between genetic mutations and the condition, which offers hope for future advancements in the medical-conditions field.
- Apart from pharmaceutical approaches, health-and-wellness strategies such as stress reduction, good sleep hygiene, and relaxing techniques like yoga or meditation can help manage the severity of essential tremor.
- Anyone experiencing symptoms of hereditary benign tremor (ET) should consult a healthcare professional for proper treatment, such as the use of drugs like propranolol or primidone, or more invasive surgical treatments like Deep Brain Stimulation (DBS) or MRI-guided Focused Ultrasound (FUS).
- In pursuit of improved overall health and mental-health, it's important to focus on nutrition and skin-care, and consider the potential benefits of complementary substances like CBD for managing nuero logical-disorders like essential tremor.
