Resting, low-frequency, pill-rolling tremor that begins unilaterally and stays asymmetric = Parkinson’s disease until proven otherwise. Asymmetry strongly favors Parkinson’s disease • Symmetric tremor at onset suggests: • Essential tremor • Drug-induced parkinsonism • Metabolic or secondary causes | MRCP UK
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Resting, low-frequency, pill-rolling tremor that begins unilaterally an…
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Dr Kailasam on Instagram: "Pill Rolling Tremor🔥 Pill-rolling tremor is the classic resting tremor of Parkinson’s disease, where the thumb and index finger move as if rolling a tiny pill. It happens because the basal ganglia lose dopamine, so the thalamus gets over-inhibited, and the muscles fire in a rhythmic, unwanted pattern. #pillrollingtremor #parkinsonsdisease #neurologyreels #movementdisorders #medicalreels #mbbsstudents #usmleprep #pgpreparation #neuroexams #basalganglia #dopaminedeficit
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