Unexplained Head Tremors: Could They Be Linked to Heart Issues?

Q: Unexplained Head Tremors: Could They Be Linked to Heart Issues?

Dear Mr. <br>Xiaohao：<br>1. <br>Migraine is often characterized as a "pulsating" headache, meaning it follows a rhythmic pattern similar to vascular pulsation. <br>While it typically occurs on one side of the head, pain can also manifest in the forehead, temples, crown, back of t

Involuntary head shaking?

Hello doctor, I often experience headaches, mostly migraines, but I have had two episodes of unexplained head shaking.
The first time, while standing in my room, my head started to shake suddenly, but I was fully conscious and it lasted for nearly a minute.
The second time was while I was soaking in a hot spring; I suddenly felt dizzy and my body was shaking as well.
Both times, there were bystanders who witnessed this and they were quite alarmed.
I have an annual physical examination, and each time my electrocardiogram shows some issues, but I don't understand what the actual problems are.
After follow-up examinations, the doctors have said that it is not significant.
Additionally, my grandmother and aunt both have heart valve issues.
Could my problems also be related to my heart?

Xiao Hao, 30~39 year old female. Ask Date: 2021/11/15

Dr. Xiao Yongxun reply Family Medicine

Dear Mr.
Xiaohao:
1.
Migraine is often characterized as a "pulsating" headache, meaning it follows a rhythmic pattern similar to vascular pulsation.
While it typically occurs on one side of the head, pain can also manifest in the forehead, temples, crown, back of the head, and behind the eyes.
Patients frequently experience nausea and vomiting, and they may be sensitive to movement, light, and noise.
"Migraine" can also be accompanied by various neurological symptoms; for instance, some individuals may experience visual disturbances prior to the headache, such as blurred vision in one or both eyes, visual field deficits, flashing lights or lines, and alterations in the shape of objects.
Additionally, neurological symptoms may occasionally arise, potentially even leading to a cerebral infarction.
However, the symptoms and severity can vary significantly among patients.
There are also atypical presentations of migraine; for example, "vestibular migraine" primarily manifests as dizziness, while headache symptoms may be relatively mild.
2.
Regarding the statement, "My grandmother and my aunt have heart valve issues," it depends on the specific nature of the problem.
If it is mitral valve prolapse, it is often not serious and rarely affects life expectancy.
3.
I recommend that you first discuss this with your family physician or seek care at a neurology outpatient clinic at a regional hospital or higher.

Reply Date: 2021/11/15

More Info

Unexplained head tremors can be concerning, especially when they occur alongside other symptoms such as headaches. Based on your description, it seems that you have a history of migraines and have experienced episodes of head tremors that last for about a minute. While it is understandable to worry about potential connections to heart issues, it is essential to consider a broader range of factors that could contribute to your symptoms.

Firstly, let's address the nature of your headaches. Migraines are often characterized by pulsating pain, typically on one side of the head, and can be accompanied by nausea, vomiting, and sensitivity to light and sound. In some cases, migraines can also present with neurological symptoms, including dizziness or vertigo, which may explain the head tremors you experienced. The episodes of head shaking you described could potentially be related to vestibular disturbances, which are often linked to migraine conditions, particularly vestibular migraines.

Regarding the tremors themselves, they could be classified as a form of movement disorder. Essential tremors, for example, are common and can occur in various parts of the body, including the head. These tremors are usually benign and not associated with serious underlying conditions. However, if the tremors are sudden and accompanied by dizziness, it may warrant further investigation to rule out other neurological conditions.

You mentioned that you have a family history of heart valve issues, specifically with your grandmother and aunt. While certain heart conditions can lead to symptoms such as dizziness or syncope (fainting), it is crucial to note that not all heart valve problems directly cause neurological symptoms like tremors. Conditions such as mitral valve prolapse, which is relatively common and often benign, may not significantly impact overall health unless they lead to complications like mitral regurgitation or arrhythmias.

Given that you have had regular check-ups and your ECG results have shown some abnormalities, it would be prudent to discuss these findings with your healthcare provider. They can help clarify what these abnormalities mean and whether they could be contributing to your symptoms. It's also important to consider other potential causes of your symptoms, including anxiety, stress, or even medication side effects, especially if you are taking multiple medications for your conditions.

In summary, while there may be a concern about a connection between your head tremors and heart issues, it is essential to evaluate all potential causes. I recommend consulting a neurologist for a thorough evaluation of your head tremors and headaches. They may suggest imaging studies or other diagnostic tests to rule out any underlying neurological conditions. Additionally, maintaining open communication with your cardiologist regarding your heart health is crucial, especially given your family history. By addressing both neurological and cardiovascular aspects of your health, you can work towards a more comprehensive understanding of your symptoms and appropriate management strategies.

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