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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Headaches, Left Leg And Body Tremors?

Since september last year , my left leg shakes , its worse when sitting and i cannot control it . Its ok when im asleep . The tremor type movement moves down to my toes and my toes curl under and it just feels strange .... I dont suffer with headaches or any other illness , but this is affecting me at work as it will make my body tremor slightly . I am going to see a neurologist in two weeks , my gp is convinced its not Parkinsons . Any help or advice please
Tue, 18 Oct 2022
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Anesthesiologist,  's  Response
Hello,

I can classify your condition as intention tremors of left leg. But it can be a physiological or essential tremor. A few causes of intention tremors are:
1) Physiological/psychiatric (e.g., anxiety, fear, anger, and fatigue)
2) Iatrogenic (e.g., anti-epileptics such as phenytoin, and carbamazepine)
3) Vascular (e.g., cerebellar infarct)
4) Trauma (e.g., diffuse axonal injury)
5) Neuroinflammatory or autoimmune (e.g., multiple sclerosis)
6) Metabolic (e.g., hepatocerebral degeneration)
7) Toxic (e.g., barbiturate overdose, alcohol dependence, mercury poisoning)
8) Hereditary (e.g., Wilson disease)

A detailed history and physical examination are essential. Also various lab tests like MRI brain, complete metabolic profile, ESR, CBP complete blood picture, CRP and urine analysis for toxins. Definitely yours is not Parkinson's disease. So you need a thorough evaluation by a neuro-physician.

Take care. Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Pallavi M., Anesthesiologist
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What Causes Headaches, Left Leg And Body Tremors?

Hello, I can classify your condition as intention tremors of left leg. But it can be a physiological or essential tremor. A few causes of intention tremors are: 1) Physiological/psychiatric (e.g., anxiety, fear, anger, and fatigue) 2) Iatrogenic (e.g., anti-epileptics such as phenytoin, and carbamazepine) 3) Vascular (e.g., cerebellar infarct) 4) Trauma (e.g., diffuse axonal injury) 5) Neuroinflammatory or autoimmune (e.g., multiple sclerosis) 6) Metabolic (e.g., hepatocerebral degeneration) 7) Toxic (e.g., barbiturate overdose, alcohol dependence, mercury poisoning) 8) Hereditary (e.g., Wilson disease) A detailed history and physical examination are essential. Also various lab tests like MRI brain, complete metabolic profile, ESR, CBP complete blood picture, CRP and urine analysis for toxins. Definitely yours is not Parkinson s disease. So you need a thorough evaluation by a neuro-physician. Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Pallavi M., Anesthesiologist