The gait of a patient with tremor palsy is a panic gait, which is characterized by difficulty in starting, and once started, the patient walks forward in small, rapid steps, encountering obstacles that are difficult to avoid and often falling, hence the clinical term panic gait. The panic gait is typical of patients with tremor palsy. If the patient also has symptoms such as resting tremor, myotonia, and bradykinesia, the diagnosis of tremor palsy is basically confirmed. At this point, medication should be given as soon as possible. Dopamine agonists are preferred for younger patients under 65 years of age, while levodopa is preferred for older patients over 65 years of age. In addition, medications for tremor palsy include monoamine oxidase inhibitors and anticholinergic drugs, and in severe cases, surgical treatment can be used to improve the patient’s symptoms.
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