essential tremor

Question 1

define essential tremor

Answer 1

autosomal dominant condition which usually affects both upper limbs

Question 2

features of essential tremor

Answer 2

tremor is always there
postural tremor: worse when arms outstretched

improved by alcohol and rest

most common cause of titubation (head tremor)

coarser and slower
affecting upper limbs

inherited AD

Question 3

management of essential tremor

Answer 3

propranolol is first-line
primidone is sometimes used

anticholinergics

Question 4

faecal incontinece

Answer 4

nerve damage - MS, spinal cord injury

cauda equina

Question 5

causes of dizziness/vertigo

Answer 5

syncope- vasovagal
situational
BIH

menieres
BPPV
acoustic neuroma

Question 6

what is vestibular migrain

Answer 6

vertigo with headache