What are the treatments for idiopathic tremor? Idiopathic tremor, like Parkinson’s disease, is one of the most common extravertebral disorders. Postural tremor is the only clinical manifestation and is commonly seen in the hands and head. The symptoms of idiopathic tremor often bring appearance and social embarrassment to patients, and patients are anxious to control the symptoms, so what are the treatments for idiopathic tremor? Medication The decision to use medication should generally be based on the patient’s age, physical condition, and severity. Start with a small dose, slowly increase, and individualize the choice of treatment plan. There are three common medications for the treatment of idiopathic tremor: cardiotrophin, paroxetine, and alprazolam. Heartdeep: need to be taken irregularly; Almare is more effective and has fewer side effects, and is more commonly used in clinical practice. An electrocardiogram should be performed before taking the drug to exclude slow heart rhythm and conduction block, etc. Epinephrine: Epinephrine is also effective, but patients with idiopathic tremor are often very sensitive to this drug and should not be administered as a treatment for epilepsy, but should be started in small doses. Alprazolam: Occasionally, alprazolam is effective in patients. Surgical treatment Surgical treatment of idiopathic tremor is indicated for five conditions: ① diagnosed as primary idiopathic tremor disease without cerebellar or vertebral tract damage; ② treated with comprehensive and complete drug therapy with definite efficacy but with significantly diminished efficacy, or with fluctuating symptoms and anisocoria; ③ with significantly diminished ability to take care of oneself; ④ without significant dementia and psychiatric symptoms, and without significant brain atrophy on CT or MRI examination; ⑤ able to cooperate well with the surgeon during the operation. (5) good cooperation with the doctor during the operation. Currently, there are two effective surgical procedures for the treatment of idiopathic tremor, one is stereotactic disruption and the other is deep brain electrical stimulation. Disruption is the use of electrical cautery to destroy abnormal excitatory nuclei in the brain to eliminate the symptoms of idiopathic tremor. However, disruption is a destructive procedure, and the long-term results are not satisfactory in some patients, and it is usually performed on one side only, not both sides. Pacemaker therapy is a minimally invasive procedure that achieves control of idiopathic tremor symptoms through chronic electrical stimulation, is a reversible neuromodulation treatment that does not cause permanent damage to brain tissue and does not interfere with other new methods of treatment in the future. The stimulation parameters of the brain pacemaker can be programmed by an extracorporeal computer, is reversible, and its effects stop immediately when the stimulation power is turned off, and is safe. Rehabilitation Patients with idiopathic tremor should actively participate in functional training, try to improve motor, balance and coordination functions, actively conduct speech training, try to improve or maintain the ability of daily life, and improve the quality of life. Family members should guide patients to establish good relationships with the outside world, give them warm care, and eliminate their depression.