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Posted : admin On 8/22/2021
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Born 1911 at WI; son of Clarence and Ella Wigen, 4122 S. 15th St., Manitowoc, WI (hometown); worked at ship yard in Manitowoc; entered service 21 Apr. '41 at Milwaukee, WI; SN 36208346; served with Co. D (E), 128 TH Inf.; DNB 15 Mar. '45, aboard transport plane that crashed into mountain on Leyte, Philippines during takeoff, he was enroute home. DJ Tremor DnB Homepage Drum and Bass Music. Powered by Create your own unique website with customizable templates.

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What is a tremor?

A tremor is a rhythmic shaking movement in one or more parts of your body. It is involuntary, meaning that you cannot control it. This shaking happens because of muscle contractions.

A tremor is most often in your hands, but it could also affect your arms, head, vocal cords, trunk, and legs. It may come and go, or it may be constant. Tremor can happen on its own or be caused by another disorder.

What are the types of tremor?

There are several types of tremor, including

  • Essential tremor, sometimes called benign essential tremor. This is the most common type. It usually affects your hands, but it can also affect your head, voice, tongue, legs, and trunk.
  • Parkinsonian tremor, which is a common symptom in people who have Parkinson's disease. It is usually affects one or both hands when they are at rest, but it can affect the chin, lips, face, and legs.
  • Dystonic tremor, which happens in people who have dystonia. Dystonia is a movement disorder in which you have involuntary muscle contractions. The contractions cause you to have twisting and repetitive movements. It can affect any muscle in the body.
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What causes tremor?

Generally, tremor is caused by a problem in the deep parts of the brain that control movements. For most types, the cause is unknown. Some types are inherited and run in families. There can also be other causes, such as

  • Neurologic disorders, including multiple sclerosis, Parkinson's disease, stroke, and traumatic brain injury
  • Certain medicines, such as asthma medicines, amphetamines, caffeine, corticosteroids, and medicines used for certain psychiatric and neurological disorders
  • Alcohol use disorder or alcohol withdrawal
  • Hyperthyroidism (overactive thyroid)
  • Liver or kidney failure
  • Anxiety or panic

Who is at risk for tremor?

Anyone can get tremor, but it is most common in middle-aged and older adults. For certain types, having a family history raises your risk of getting it.

What are the symptoms of tremor?

Symptoms of tremor may include

  • Rhythmic shaking in the hands, arms, head, legs, or torso
  • Shaky voice
  • Difficulty writing or drawing
  • Problems holding and controlling utensils, such as a spoon

How is tremor diagnosed?

To make a diagnosis, your health care provider

  • Will take your medical history
  • Will do a physical exam, which includes checking
    • Whether the tremor happens when the muscles are at rest or in action
    • The location of the tremor
    • How often you have the tremor and how strong it is
  • Will do a neurological exam, including checking for
    • Increased muscle stiffness
  • May do blood or urine tests to look for the cause
  • May do imaging tests to help figure out if the cause is damage in your brain
  • May do tests which check your abilities to do daily tasks such as handwriting and holding a fork or cup
  • May do an electromyogram. This is a test which measures involuntary muscle activity and how your muscles respond to nerve stimulation
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What are the treatments for tremor?

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There is no cure for most forms of tremor, but there are treatments to help manage symptoms. In some cases, the symptoms may be so mild that you do not need treatment.

Finding the right treatment depends on getting the right diagnosis of the cause. Tremor caused by another medical condition may get better or go away when you treat that condition. If your tremor is caused by a certain medicine, stopping that medicine usually makes the tremor go away.

Treatments for tremor where the cause is not found include

  • Medicines. There are different medicines for the specific types of tremor. Another option is Botox injections, which can treat several different types.
  • Surgery may be used for severe cases that do not get better with medicines. The most common type is deep brain stimulation (DBS).
  • Physical, speech-language, and occupational therapy, which may help to control tremor and deal with the daily challenges caused by the tremor

If you find that caffeine and other stimulants trigger your tremors, it may be helpful to cut them from your diet.

NIH: National Institute of Neurological Disorders and Stroke The impossible quiz book chapter 1clout games.

  • Essential Tremor (American Academy of Family Physicians) Also in Spanish
  • Essential Tremor (National Institute of Neurological Disorders and Stroke)
  • Tremor (National Institute of Neurological Disorders and Stroke) - Short Summary
  • Tremor (National Institute of Neurological Disorders and Stroke) Also in Spanish
  • Essential Tremor (ET): Surgical Options (International Essential Tremor Foundation)
  • Treatment of Essential Tremor (American Academy of Neurology) - PDF
  • Essential Tremor (ET): Coping Tips for Everyday Living (International Essential Tremor Foundation) - PDF
  • Essential Tremor vs. Parkinson's Disease: How Do They Differ? (International Essential Tremor Foundation) - PDF
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  • essential tremor: MedlinePlus Genetics (National Library of Medicine)
  • Essential Tremor Is More Than a Tremor (International Essential Tremor Foundation)
  • ClinicalTrials.gov: Essential Tremor (National Institutes of Health)
  • ClinicalTrials.gov: Tremor (National Institutes of Health)

Journal Articles References and abstracts from MEDLINE/PubMed (National Library of Medicine)

  • Article: Yoga Breathing Exercises (Pranayama) Decrease Hand Microtremor in Young Microsurgeons: Toward..
  • Article: Clinical Reasoning: A 24-year-old man with head tremor and decreased ceruloplasmin..
  • Article: Dopamine-responsive and dopamine-resistant resting tremor in Parkinson disease.
  • Tremor -- see more articles
  • National Institute of Neurological Disorders and Stroke Also in Spanish
  • Children with Essential Tremor (International Essential Tremor Foundation) - PDF
  • Essential tremor (Medical Encyclopedia) Also in Spanish
  • Tremor (Medical Encyclopedia) Also in Spanish
  • Tremor - self-care (Medical Encyclopedia) Also in Spanish

If you or someone you love has essential tremor, you should know that deep brain stimulation surgery is a treatment option. Eighty to 90 percent of patients with essential tremor have moderate symptom relief after DBS. If medication does not work well to control your symptoms, DBS could help.

This site explains what DBS for essential tremor is, how it works and if you might be a candidate. It also tells you about OHSU’s expertise with DBS and walks you through every step of the process.

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DBS stands for deep brain stimulation. This surgery for essential tremor and other movement disorders can reduce motor symptoms and improve your quality of life. DBS does not cure or stop essential tremor, but it continues reducing symptoms even if they get worse over time.

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If you’re looking for more information on DBS, the OHSU Parkinson's Disease and Movement Disorders Program can help. Learn more about:

You might feel ready for DBS, or just be gathering information. Either way, it’s never too early to learn if it could help. Find out if you are a DBS candidate.

When it came time to turn on the stimulator, my tremor disappeared. My body was quiet. My husband and I cried from sheer joy. When Dr. Burchiel stopped by, it was wonderful to be able to thank him personally for giving me my life back. Read more

If you’re interested in DBS surgery, ask your doctor to contact OHSU’s Parkinson's Disease and Movement Disorders Program. Whether you live in the Portland area or elsewhere, we go out of our way to make appointments and testing as convenient as possible.

If you have questions or would like our assistance in requesting a referral from your neurologist, please call us at 503-494-4314.

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We have 25 years of experience with DBS, with more than 1,800 procedures performed. Our neurosurgeon Dr. Kim Burchiel did the first successful DBS surgery in the United States. Learn more about our DBS expertise.