『Neuro: Tremors: Free MSRA Podcast』のカバーアート

Neuro: Tremors: Free MSRA Podcast

Neuro: Tremors: Free MSRA Podcast

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⚕️ FREE MSRA PODCAST – Tremor🎧 A clear, high-yield breakdown of this neurological movement disorder with diverse causes – perfect for exam prep and real-life clinical scenarios.🧠 Key Learning Points📌 Definition• Involuntary, rhythmic shaking or oscillation of a body part• Can occur at rest or during movement – classification is key📌 Causes & Risk Factors• Essential tremor (ET) – most common; often familial; worsens with age• Parkinson’s disease – rest tremor hallmark• Medication-induced – e.g., SSRIs, antipsychotics, withdrawal• Physiological tremor – enhanced by anxiety, fever, caffeine, hyperthyroidism• Cerebellar tremor – intention tremor; suggests cerebellar pathology• Neurological conditions – MS, Parkinsonism, dystonia, stroke• Metabolic – thyroid dysfunction, liver/kidney failure, electrolyte imbalance• Toxins – arsenic, heavy metals, B1 deficiency• Psychogenic tremor – worsens with stress, improves with distraction💡 Mnemonic for causes: “VAMP CAPPERS” – Vitamin deficiency, Anxiety, Meds, Parkinson's, Cerebellum, Alcohol, Physiological, Psychogenic, Electrolytes, Rare diseases, Stroke📌 Pathophysiology• Caused by abnormal oscillations in the motor control circuits of the brain• Type and location of these faulty signals determine the tremor type• Cerebellum and basal ganglia play central roles📌 Symptoms• Tremor may affect hands, head, voice• Rest tremor → Parkinson’s (e.g. "pill-rolling")• Postural tremor → ET, physiological tremor• Kinetic/intention tremor → cerebellar disease• Psychogenic tremor → variable, abrupt, distractible💡 ET = 8–10 Hz, bilateral, worsens with stress, improves with alcohol📌 Differential Diagnosis• Essential tremor vs Parkinson's• Dystonia, Wilson's disease, drug-induced, psychogenic• History + exam crucial to differentiate between overlapping patterns📌 Diagnosis• Primarily clinical – based on type, history, neuro exam• Investigations only if atypical or cause unclear:– TFTs (thyroid), Copper/ceruloplasmin (Wilson’s)– MRI/CT (lesion, stroke), LFTs, U&Es, FBC for systemic causes• Avoid scattergun testing – tailor to clinical suspicion📌 Management• Essential Tremor:– Mild: may need no treatment– Moderate: Propranolol or Primidone (1st-line)– Severe: DBS, botulinum toxin, MR-guided ultrasound• Physiological tremor:– Usually non-progressive, may improve with CBT if anxiety-driven• Secondary tremor:– Treat underlying cause – e.g., Parkinson’s, hyperthyroidism– Always review medications first• Occupational therapy for functional support💡 Clinical pearl: Trial med reduction before adding tremor meds📌 Complications• Can significantly impact daily functioning and quality of life• Progressive disability in some cases (esp. ET, Parkinson’s)• Emotional toll – anxiety, social withdrawal📌 Prognosis• ET: progressive, neurodegenerative, worsens 3–5% yearly• Physiological tremor: non-progressive• Drug-induced: may persist post-withdrawal• Secondary tremors: follow course of the parent condition📎 More MSRA Resources for Tremor📝 Revision Notes: https://www.passthemsra.com/topic/tremor-revision-notes/🧠 Flashcards: https://www.passthemsra.com/topic/tremor-flashcards/💬 Accordion Q&A Notes: https://www.passthemsra.com/topic/tremor-accordion-qa-notes/🚀 Rapid Quiz: https://www.passthemsra.com/topic/tremor-rapid-quiz/🧪 Quiz Bank: https://www.passthemsra.com/quizzes/tremor/🎓 Full Course: https://www.passthemsra.com/courses/neurology-for-the-msra/Hashtags#MSRA #MSRARevision #MSRATextbook #MSRAQuiz #MSRAQuestionBank #MSRAFlashcards #MSRAQANotes #MSRAAccordions #MSRAOnlineRevision #MultiSpecialityRecruitmentAssessment #Tremor #EssentialTremor #NeurologyForMSRA #MovementDisorders #Parkinsons #WilsonDisease

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