Regarding head issues?
Hello doctor, I would like to ask, since I was about 6 years old, I have had involuntary head shaking and movement, which has continued until now at the age of 28.
I only became aware of this condition when others pointed it out to me.
I would like to know if this is caused by "Parkinson's disease."
Yue, 20~29 year old female. Ask Date: 2010/10/19
Dr. Ye Boshou reply Neurology
Hello: The tremors you have experienced since childhood are not symptoms of Parkinson's disease, but they may be indicative of other movement disorders.
It is advisable to consult a neurologist for an evaluation, and also to pay attention to any family history of similar conditions.
Reply Date: 2010/10/19
More Info
Understanding uncontrollable head movements can be quite complex, and your concern about whether this could be related to Parkinson's disease is valid. However, it's essential to clarify a few points regarding the nature of your symptoms and the characteristics of Parkinson's disease.
Parkinson's disease is a progressive neurological disorder that primarily affects movement. It is characterized by a combination of symptoms, including tremors, stiffness, slowness of movement, and balance issues. The tremors associated with Parkinson's typically occur at rest and may involve the hands, arms, legs, and sometimes the head. However, these tremors usually develop later in life, often after the age of 60, and are not typically present from childhood.
In your case, since you mentioned that you have experienced uncontrollable head movements since the age of six, it is less likely that this is related to Parkinson's disease. Instead, your symptoms may be indicative of a different condition. One possibility is a movement disorder known as "tics," which can manifest as involuntary movements or sounds. Tics can be associated with conditions such as Tourette syndrome, which often begins in childhood and can include head shaking or jerking.
Another potential explanation for your symptoms could be a condition called "essential tremor." This is a neurological disorder that causes rhythmic shaking, often in the hands, but it can also affect the head and voice. Essential tremor can occur at any age, but it is more common in older adults. Unlike Parkinson's disease, essential tremor typically occurs during movement rather than at rest.
It is also important to consider other factors that could contribute to your head movements, such as anxiety or stress, which can exacerbate tics or tremors. Additionally, certain medications or substances can lead to involuntary movements as side effects.
Given your long history of these symptoms, I recommend consulting with a neurologist who specializes in movement disorders. They can perform a thorough evaluation, including a detailed medical history, physical examination, and possibly imaging studies or other tests, to determine the underlying cause of your head movements. This evaluation will help differentiate between various movement disorders and guide appropriate management.
In summary, while your concern about Parkinson's disease is understandable, the age of onset and nature of your symptoms suggest that it is less likely to be the cause. Conditions such as tics or essential tremor may be more relevant. A comprehensive assessment by a specialist will provide clarity and help you understand the best course of action for managing your symptoms. Remember, early diagnosis and intervention can significantly improve quality of life, so seeking professional advice is a crucial step.
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