The presence of involuntary shaking of the head in the elderly is mostly considered primary tremor. The disease has a certain genetic predisposition and occurs mostly in middle-aged and older adults over 40 years of age, with no significant racial or gender differences. Patients mainly present with tremor, without other positive neurological signs and without disorders of muscle tone. Most of the symptoms are postural or motor in nature and occur in the hands and forearms in most patients, but can also involve the head. Patients present with tremor of the head, which may also involve the lower extremities and occasionally affect the tongue and facial trunk, among others. In general, the onset of the disease is slow and not disabling, and most patients are mild and do not require special treatment. In severe cases, the patient’s quality of life may be affected. Propranolol can be given orally, or thalamic disruption can be performed if medication is ineffective.