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HomeAnswersNeurologytremorsAre my tremors in left hand due to Rubral syndrome or muscle weakness?

I have tremors in left hand. Is it rubral syndrome or muscle weakness?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

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Published At April 24, 2016
Reviewed AtJuly 27, 2023

Patient's Query

Hi doctor,

I have tremors on my left hand. I am on Amantrel 100mg tds, Frisium 30 mg and Propranolol 40 mg. I have been through two stents in my heart, but I have no myocardial infarction. I am on beta blockers Valent 40 mg od and Retorlix 5 mg od. My neurologist says this as Rubral syndrome and my very senior physician said this is more likely to be muscle weakness because through a strict regime I have come down to 218.25 lb from 308.64 lb in the past 19 months. I would like to slowly discontinue Frisium because it makes me drowsy. My question is, should I taper one medicine after another just to see what works best? The physician told me to stop all medication completely which I do not think as a great idea. Can you please help?

Hi,

Welcome to icliniq.com. I understand your concerns. Let me try to help you. Muscle weakness will not cause unilateral tremors (involving one side). May be the tremors will start in one hand on first day, but within a week you will have tremors in both hands. So, this is not due to muscle weakness. I would suggest that you stop Frisium (Clobazam) first to solve your drowsiness. The probable cause include rubral Tremors (Slow tremors at rest). The differential diagnosis include 1. Parkinson's disease. 2. Parkinson-plus disorders (group of neurodegenerative disorders). The probable diagnosis is parkinson's disease. The treatment plan is to continue tablet Amantrel (Amantadine). The preventive measure is to do daily morning and evening 45 minutes of walk.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. J. Mariano Anto Bruno Mascarenhas
Dr. J. Mariano Anto Bruno Mascarenhas

Neurosurgery

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