Tremor

Tremor is a symptom that can be found in every person to a greater or lesser extent. However, when tremor begins to affect daily life or is a symptom of a disease, tremor may need to be examined and treated. The diseases that most commonly cause tremor to a degree that disrupts daily life are "Parkinson's Disease" and "Benign Essential Tremor".


In Parkinson's disease, tremor occurs at rest and can stop with movement; in addition to tremor, other symptoms of Parkinson's disease such as slow walking and stiffness in the muscles are often present. Benign essential tremor, on the other hand, has a better clinical course. This type of tremor is not present at rest; it occurs when movement and use of the hand begins. It is usually present in other family members and often does not progress to a degree that disrupts daily life. In neurodegenerative diseases such as multiple sclerosis, tremor, trigeminal neuralgia, spasticity, and other symptoms may benefit from surgery. However, these surgeries do not help other symptoms of multiple sclerosis and do not change the progressive course of the disease itself.


Tremor is a disorder that benefits significantly from surgical treatment if it cannot be controlled with medications. The criterion for surgery is the disruption of functions such as drinking water, eating, doing work and writing despite medications. In this case, surgical treatment methods such as thalamotomy and deep brain neurostimulation lead to significant improvement in the daily lives of patients.