TVC: When Young Hands Tremble. Essential Tremor
Interview with Yulia Sidorova, neurologist at the Buzaev Clinic. What is essential tremor? Why can hands tremble even in young people?
Recording of the program Doctor I… on TVC “What You Need to Know About Ferritin” from April 19, 2022
Transcript:
Irina Pershina: Good morning, dear viewers! On air: “Doctor” program I» and hosts – Kirill Radzig and Dr. Irina Pershina
Kirill Radzig : Today in the issue.
Irina Pershina: Will the new therapy help cure essential tremor? Why is it very important to monitor the level Ferritin? How does the shape of the foot affect our health?
Hand tremors in the elderly usually do not cause much surprise. This disorder is most often thought to appear due to age. However, when involuntary and shaking movements of the limbs occur in young people, it cannot not to attract attention
Olga Докучаева : In childhood, I was diagnosed with a problem – Tremor hands. I basically knew where it came from: this hereditary disease was passed down to me from my grandfather and my dad, and this – essential tremor, which is not treatable. Had to accept it and live with it.
Life with this disorder was manageable for Olga while she was in school. But when it came time to choose a profession, the young woman had to forever give up her main dream.
Olga Dokuchaeva : I really wanted to become an artist. But, unfortunately, my dream was not meant to come true, because I couldn’t do it because of my hands.
Plans collapsed, but this did not break Olga. She became a fashion designer and managed to build a successful career, despite the fact that this condition, although not dangerous noticeable reduces quality of life and impairs professional functions человека.
Olga Dokuchaeva : It was difficult for me. My clients, of whom I had many, understood me. Everyone was respectful treated. Everything went perfectly, wonderfully. Such an attitude gave me strength, confidence. I did this all my life.
S With each passing year, it became increasingly difficult to engage in my favorite work. Despite the fact that with essential tremor symptoms progress much more slowly than in Parkinson’s disease, but they begin to intensify with age. This happened with Olga.
Olga Dokuchaeva : It has become much more difficult for me to sew, Sew almost impossible. Holding a needle and thread is completely unrealistic. I struggle with using a phone because very difficult to type по Keyboard on the phone and on the computer I I avoid stores where you have to weigh products yourself because I can’t enter the numbers on the screen.
Doctors claim: if the disease begins to progress, it is possible that the tremor may spread to the tongue, chin, cheeks, and other parts of the head. In such cases, it becomes much more difficult for the patient to cope with everyday tasks and he may need help from loved ones.
Olga Dokuchaeva : If the disease is not treated and no way is found to eliminate it – I am facing a very dire situation. When I learned about the treatment method using focused ultrasound, I wanted find out: will this help me? I would really like to try this method, but I have doubts: what are the risks, how safe is it, what is the outcome, consequences? В общем, I’m worried on this matter
Irina Pershina: To get answers to these questions, We invited Olga Dokuchaeva to the studio today, а figure it out for us will help leading neurologist in essential tremor – Yulia Sidorova. Good morning, Yulia!
Yulia Sidorova : Hello!
Irina Pershina: Before we move on to discussing the treatment method, I would like to understand: what is essential Tremor? Is it true, that among neurological pathologies this is one one of the most common?
Yulia Sidorova : Essential tremor – this is a type of tremor which among all types of tremor is indeed the most common
Irina Pershina: How dangerous is this ailment?
Yulia Sidorova : From the perspective of life expectancy, it is not dangerous, and it also does not affect intellectual abilities, but at the same time the disease significantly reduces the quality of life for the patient both at work and at home.
Kirill Radzig : Olga, in the story you mentioned that your grandfather had a similar ailment. Did you observe its progression in him how Did he live?
Olga Dokuchaeva : First of all, this grandfather was already older when I was born into the world, and I have seen since birth tremor in his hands, and grandfather lived a fairly long life, and it was very sad, k end of life he does not could do nothing. There is could not Cup of tea held on the table, touching lips to the cup, tried to drink from the table. And the same thing happened with the soup, He couldn’t hold a spoon. We, of course, helped him.
Irina Pershina: We have seen that this tremor interferes with your daily life. Have you encountered any other unpleasant situations at other times in your life?
Olga Dokuchaeva : There were comical situations for me. Although they didn’t really touched, but they were unpleasant. For example, standing in line at the checkout, you take out your wallet, start paying, and the line is long people starts to make noise and talk, someone will definitely say from the line: “Well, you got drunk yesterday, didn’t sleep it off.” In general, it’s unpleasant. And such things happened.
Irina Pershina: Now I would like to talk about the method treatment He, as far as we understand, it is an innovation He hasn’t been around for long, but he’s already gaining popularity. However, unfortunately, not many people know about him. Therefore, I would really like you, Julia, told
Yulia Sidorova : The method of MRI-guided focused ultrasound is truly new. The essence of the method is that ultrasound waves are directed to the area of the brain responsible for tremor destroy его. При essential tremor provides lifelong results, result long-term. Essentially, it is a cure for tremor.
Kirill Radzig : Let’s see how you perform this operation. Waiting Your comments
Yulia Sidorova : The patient is on the focused ultrasound table while the doctor conducts various motor tests where we see the tremor of the right hand On the table is a neurosurgical helmet with built-in ultrasound sensors. The target point is calculated using a special map, and the number of ultrasound waves to be used is determined affect this tremor point. Here we can already see the result we achieve after the impact We conduct testing using spirals and drawing. We see how they differ before and after the procedure. пациенттакже evaluates its own state
Irina Pershina: So it turns out that this procedure – literally magical. It takes a relatively short amount of time. How long does a person stay in this device?
Yulia Sidorova : On average, three hours. And yes, the result seems magical because during the therapy we already see a reduction in tremor. And then the patient notes absence of tremor, returns to the ward, and by the end of the workday can already return to your family.
Irina Pershina: So, literally in 3 hours, can a person’s life completely change?
Kirill Радциг : This looks fantastic.
Irina Pershina: Olga, do you have any questions before you decide on this treatment method?
Olga Dokuchaeva : What concerns me most are the consequences. Can anything cause harm?
Yulia Sidorova : Since the procedure is performed without anesthesia, we can assess side effects during therapy and prevent them. As a rule, there are no side effects. However, due to the increase in swelling after the procedure the patient may feel mild discomfort for three days numbness of a certain part of the body, corner of the mouth, or hand, for example instability, headache, which are resolved within three days
Irina Pershina: Is it necessary during take any pills during these three days? Or does the body recover on its own without medications, simply endure this time and will everything be okay?
Yulia Sidorova : We perform a control magnetic resonance imaging immediately after the surgery and the next day. If the swelling is minor – we just observe. And, as a rule, it resolves on its own.
Kirill Радциг : I have a technical question. That is, it turns out that during these three hours using your instruments, you target certain points and monitor the patient’s condition? So if you press something incorrectly, the patient says, “Oh, my hand feels weak.” And this not the right spot, right? Are you selecting another one? Or how does it work?
Yulia Sidorova : Yes, you understand correctly. Both the patient and the neurosurgeon will notice this. Comparing, checking, again comparing from the opposite side
Kirill Radzig : Thus, You choose exactly the point at which is then further Do you influence?
Yulia Sidorova : Yes. Therefore, this method highly safe
Irina Pershina: Olga, do you have any more questions for Yulia?
Olga Dokuchaeva : Can tremor return? After how long?
Yulia Sidorova : Focused ultrasound for essential tremor provides very long-lasting results, comparable to lifelong ones. Ta the statistics we have indicate that the return of tremor is possible in only 2% cases. Therefore, we expect to achieve a result without recurrence.
Irina Pershina: Olga, you deciding on this surgery, have your doubts been dispelled or increased Has the excitement increased?
Olga Dokuchaeva : I’m making a decision.
Irina Pershina: Olga and Yulia, we are waiting for the results. We wish you good luck and see you at our Studios!
Olga Dokuchaeva : Thank you!
Yulia Sidorova : Thank you!
Irina Pershina: Stay with us. We’ll be back right after the commercial.
