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Discussion Starter · #1 ·
Our OT mentioned casually at the end of the last session that DS1 looks like he might have a light tremor in his hands. He is working through some neurological delays in fine motor skills. It didn't seem like an "OMIGOSH, get this checked right now" scenario, so my questions are these:<br><br>
Should I worry? Should I follow up?<br><br>
My initial reaction was that he was probably just worn out from the appointment (tired, trembly muscles). But the longer I think about it, the more I wonder. We haven't yet visited with a neurologist, but that may be in order?<br><br>
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My DS has tremors in his hands too, particularly when he is concentrating on a fine motor task he is trying to master. I think in my son's case it is probably because of the scar tissue in his brain, caused by the viral meningitis he had as a newborn. I would like to check in again with a neurologist about this issue (last time we saw one was a year and a half ago), but I'm not in a huge rush. It's pretty mild and I'm not sure there's much more they could do about it than the OT he's already getting.<br><br>
Which, I guess, was a long way of saying, I don't know either. In your son's case, could be something, could be nothing. Have you seen the tremor yourself? Is there a pattern to when you see it? Did you ask the OT if it was something to be concerned about?
 

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Is it when he's trying to do something?<br>
You might google familial or benign essential tremor. I think it's pretty common and runs in my family. That would be my first guess.<br>
You can also get muscle twitches in your hands (especially thumbs) that are just like those eye twitches but that would look different than tremor I think to the OT.
 

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My daughter's preschool teacher commented on her hand tremor so I brought it up with the doc. We ended up with a neuro referral. The neuro took a history and did an office exam and said that it was an essential tremor. He said it wasn't cause for concern until she was older and then only if it interfered with handwriting and self-feeding.<br><br>
Now at 4.5 and after 1.5 years of OT her hand strength has improved greatly. She still tremors but it hasn't affected her early handwriting attempts.<br><br>
It sounds like it might be similar to my daughter's. It was always more pronounced after OT or if her hands were fatigued. HTH
 

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Discussion Starter · #5 ·
Yes, that sounds a lot like it. I have not noticed it myself, that's why I was thinking that it was due to fatigue. Thanks for the tips! I think we'll wait on the neurologist visit since we are working hard in OT on hand strength.<br><br>
Thanks again!
 

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An OT once observed a tremor in my son that fit best in the category of an intentional tremor. We did go to a neurologist but were already headed that direction.<br><br>
I would consider making the appointment in your situation. 1) a non-urgent appointment can take months--actually an urgent one can take a couple of months, so it's often better to make the appointment and decide when it comes close whether you want to keep it 2) there are a couple of serious things it probably isn't--we were ruling out Wilson's disease (if relatives on either side of your family have died before forty-five of liver failure or unidentified causes, even if everyone assumed it must be alcoholic cirrohsis or something, I would definitely check into this), you want to make sure there isn't some seizure activity going on when this happens. If a qualified doctor can look at it and say that it's definitely an essential tremor, that's different. In our case, we have no idea why DS did something that looked like a tremor or had a tremor. It's definitely not something he does all the time.<br><br>
Sherri
 
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