Sign-in to Ask A Doctor - 24x7
OR
Sign in with Google
Suggest Treatment For Tremors In The Head While Having Waltman Walters Syndrome
Question: I'm a 61 year old male. 6'1", 212 lbs. I have had Moersh - Waltman Syndrome (Stiff Person Disease) since a car accident 15 years ago when diabetes wqwas also diagnosed. Suddenly about 6months ago I began experiencing uncontrolable head nodding. Do you know of anything that can help. The nodding is constant unless I put my head in a firm downward position if that helps. Thank you, XXXX
Brief Answer:
May be part of Essential Tremor Syndrome
Detailed Answer:
Good afternoon and thank you so much for your question on our network.
The description of head bobbing in anything but a hyperflexed neck position is most consistent with the condition of ESSENTIAL TREMOR and can be demonstrated by taking the head out of the hyperflexed position and confirming if it tends to tremor more robustly in any other position when it is taken out of the chin down flexed posture.
The other way to diagnose this problem is to have a neurologist examine you and verify that no other part of your body is tremoring at the same time since most of the time at least 1 or 2 other parts of the body are constantly tremoring when active in conjunction with the head. This finding would lend a significant amount of credibility to the diagnosis of ET.
As far as what can help there are a variety of things that could be tried but the first thing to do is agree to a diagnosis. However, if this head bobbing does turn out to be ET then, one of the most efficacious drugs for that condition is PROPRANOLOL whose dosage can be given to you by the neurologist who examines you and determines that to be the cause.
If the bobbing is NOT ET because there are other neurological problems going on that I am unaware of at this time then, it would simply depend upon what those issues are to determine best intervention. However, head bobbing in an otherwise, healthy person (though you have stiff person syndrome) with diabetes at age 61 is ET until proven otherwise when I am taking my best guess in a situation such as this without being able to either see or examine you.
If I've satisfactorily addressed your question then, could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback and a 5 STAR rating to our transaction if you feel the response has helped you? Again, many thanks for posing your question.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.
This query has utilized a total of 16 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
May be part of Essential Tremor Syndrome
Detailed Answer:
Good afternoon and thank you so much for your question on our network.
The description of head bobbing in anything but a hyperflexed neck position is most consistent with the condition of ESSENTIAL TREMOR and can be demonstrated by taking the head out of the hyperflexed position and confirming if it tends to tremor more robustly in any other position when it is taken out of the chin down flexed posture.
The other way to diagnose this problem is to have a neurologist examine you and verify that no other part of your body is tremoring at the same time since most of the time at least 1 or 2 other parts of the body are constantly tremoring when active in conjunction with the head. This finding would lend a significant amount of credibility to the diagnosis of ET.
As far as what can help there are a variety of things that could be tried but the first thing to do is agree to a diagnosis. However, if this head bobbing does turn out to be ET then, one of the most efficacious drugs for that condition is PROPRANOLOL whose dosage can be given to you by the neurologist who examines you and determines that to be the cause.
If the bobbing is NOT ET because there are other neurological problems going on that I am unaware of at this time then, it would simply depend upon what those issues are to determine best intervention. However, head bobbing in an otherwise, healthy person (though you have stiff person syndrome) with diabetes at age 61 is ET until proven otherwise when I am taking my best guess in a situation such as this without being able to either see or examine you.
If I've satisfactorily addressed your question then, could you do me the kindest of favors by CLOSING THIS QUERY and be sure to include some fine words of feedback and a 5 STAR rating to our transaction if you feel the response has helped you? Again, many thanks for posing your question.
Do not forget to contact me in the future at: www.bit.ly/drdariushsaghafi for additional questions, comments, or concerns having to do with this topic or others.
This query has utilized a total of 16 minutes of professional time in research, review, and synthesis for the purpose of formulating a return statement.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
Get personalised answers from verified doctor in minutes across 80+ specialties
