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Hello, doctor: When I focus on something, my head involuntarily shakes.
Could this be a symptom of Parkinson's disease or epilepsy? Sometimes I also experience pain in my head!
der, 20~29 year old female. Ask Date: 2001/07/26
Dr. Huang Yingzhe reply Neurology
Given your age and symptoms, it does not appear to be Parkinson's disease or epilepsy, but rather essential tremor.
Please consult a neurologist for further evaluation and treatment.
Reply Date: 2001/07/26
More Info
Head tremors and pain can indeed be concerning symptoms, and it's important to consider various potential underlying conditions, including Parkinson's disease and epilepsy, among others. However, it is crucial to understand that these symptoms can arise from a variety of causes, and a thorough evaluation by a healthcare professional is necessary to determine the exact nature of your condition.
Parkinson's Disease is a neurodegenerative disorder characterized by a combination of motor and non-motor symptoms. The classic motor symptoms include tremors, rigidity, bradykinesia (slowness of movement), and postural instability. Tremors in Parkinson's typically occur at rest and may be accompanied by other symptoms such as stiffness and difficulty with balance. However, head tremors are not a classic symptom of Parkinson's disease, and if they occur, they may not be the primary indicator of the disease.
Epilepsy, on the other hand, is a neurological disorder characterized by recurrent seizures. Seizures can manifest in various ways, including convulsions, loss of consciousness, or unusual movements, which may include head jerking or tremors. If your head tremors occur in conjunction with other symptoms such as altered consciousness, confusion, or unusual sensations, it may warrant further investigation for epilepsy.
In your case, the fact that you experience head tremors while concentrating on something could suggest a different issue altogether. It may be related to muscle tension, anxiety, or even a neurological condition that is not yet diagnosed. The accompanying headache could also indicate tension-type headaches or migraines, which are common and can be exacerbated by stress or prolonged concentration.
Other Possible Causes:
1. Tension Headaches: These can cause discomfort in the head and neck, leading to muscle tightness and tremors due to stress or fatigue.
2. Cervical Dystonia: This is a movement disorder that causes involuntary muscle contractions in the neck, leading to abnormal head positions and movements.
3. Anxiety or Stress: Psychological factors can manifest physically, leading to tremors and tension headaches.
4. Medication Side Effects: If you are taking any medications, some can cause tremors as a side effect.
Given your symptoms, it is advisable to consult a neurologist who can perform a comprehensive evaluation, including a detailed medical history, physical examination, and possibly imaging studies or EEG if seizures are suspected. They may also consider other diagnostic tests to rule out conditions such as multiple sclerosis or essential tremor.
In summary, while head tremors and pain can be associated with conditions like Parkinson's disease or epilepsy, they can also arise from a variety of other causes. A thorough evaluation by a healthcare professional is essential to determine the underlying cause and appropriate treatment. If you are experiencing significant discomfort or if your symptoms worsen, do not hesitate to seek medical attention promptly.
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