Your doctor might order a magnetic resonance imaging (MRI) scan or a computerized axial tomography (CAT) scan if there is a suspicion of some other cause of tremor. Here are some questions you may be asked: A brain scan is not required to diagnose ET. During your physical exam, your doctor will be gathering as much information as possible about your tremor. Doctors who are trained to evaluate tremor can accurately diagnose ET on the basis of the symptoms and a neurological examination. Before making a diagnosis of ET, your doctor may want to investigate other possible causes of tremor such as thyroid disease, excessive caffeine ingestion or medication side effects. Not everyone who inherits a gene develops symptoms, and some people have ET and do not have a family history of tremor, possibly suggesting other causes. The course of ET is variable and may be progressive over many decades. Can a diagnosis of ET be made from looking at a brain scan? Researchers have already located two genes that predispose to ET and are currently trying to locate others. No one group of people is more likely to develop ET. No one can predict how much your tremor will worsen with time. This means that each child of a parent with ET has approximately a 50% chance of inheriting a gene that causes ET. Though ET may first appear at any age between childhood and old age, onset is rare before the age of ten. ET is found in all races and in all parts of the world. prednisone deltasone Here you will first find a list of all the major medications and the problems they address. Then you will see each of the major problems (panic attacks, generalized anxiety, and so forth), with descriptions of the commonly recommended medications for that difficulty. (I gratefully acknowledge James Ballenger, MD for his review of this section.) 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