How to treat head tremors

Head tremors are also common in life. There are many causes of head tremors. The most common one is Parkinson's disease, which is a disease that is prone to occur in the elderly. It is mainly related to abnormal discharges of brain nerves. Head tremors can be treated with medication, massage and acupuncture. If the symptoms are indeed serious, surgery can also be used for treatment.

How to treat head tremors

1. Drug treatment

① β-receptor blocker: Propranolol 40-120 mg, divided into 2 doses, needs to be taken irregularly. If the tremor is expected to be particularly severe on a specific occasion, 40-120 mg of Propranolol can be taken orally temporarily;

Almar has better effects and fewer side effects and is more commonly used in clinical practice. The usual dose is 10 mg twice a day, taken in the morning and afternoon. An electrocardiogram should be performed before taking the medicine to rule out contraindications of beta-blockers such as slow heart rate and conduction block.

② Prilosec is also effective, but patients with essential tremor are often very sensitive to this drug and should not be used to treat epilepsy. It should be started with a small dose of 50 mg/d, and the daily dose should be increased by 50 mg every 2 weeks until it is effective or side effects occur; the usual effective dose is 100-150 mg, 3 times/d;

③ Occasionally, alprazolam is effective in some patients, with the maximum dose being 3 mg/d in divided doses.

2. Thalamic lesion

For a small number of patients whose symptoms are severe, mainly on one side, and who are not responsive to drug treatment, thalamic lesion surgery can be performed. Deep thalamic stimulation (DBS) is an effective alternative treatment.

DBS technology has outstanding advantages over previous surgical methods. First, DBS is reversible and adjustable. The surgery does not destroy the nerve nuclei, but only temporarily puts them in a state of electrical paralysis to improve nerve function. The degree and range of nerve nucleus paralysis can be adjusted by setting multiple factors such as the current, voltage, frequency and electrode position of the deep brain electrodes. During the long days after surgery, it can be continuously adjusted as the condition changes, and can provide long-term control of the evolving essential tremor symptoms. Second, DBS is experienceable. After the electrodes are surgically implanted, temporary stimulation can be used to allow the patient to adapt, experience and observe personally, and then decide on the final and optimal electrode implantation site. Again, DBS is developable. The surgery preserves the neurological function of normal brain tissue, creates conditions for new methods that may emerge in the future, and preserves the patient's right and hope to gain a new life.

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