What are the symptoms of paralysis tremens

Tremor paralysis often occurs after middle age, and its main manifestations are tremors, muscle rigidity and bradykinesia. Sometimes people are unable to complete actions such as dressing, combing hair and brushing teeth. In severe cases, it may manifest as symptoms of dementia.

1. Tremor: Tremor usually starts from one upper limb and hand, presenting a rhythmic pill-rolling movement. As the disease progresses, the tremor gradually spreads to the ipsilateral lower limbs and the contralateral upper and lower limbs, usually more severe in the limbs than in the lower limbs. Tremors of the jaw, lips, tongue and head often appear in the later stages of the disease. Tremors mostly occur when the patient is at rest, are relieved during voluntary activities, are aggravated by emotional tension, and disappear after falling asleep.

2. Myotonia: Muscle tension increases throughout the body. Due to the increased tension of the flexor and extensor muscles of the limbs, the passive extension and flexion of the joints presents a uniform impedance, which is called lead pipe stiffness. If accompanied by tremor, the impedance has an intermittent pause, which is called gear stiffness. Increased facial muscle tension makes the face look stiff and mask-like.

3. Slow movements: manifested by difficulty initiating voluntary movements, slow movements and reduced activity. The patient appears clumsy and slow in turning over, standing up, walking, and turning. Actions such as dressing, combing hair, and brushing teeth are difficult to complete. When writing, the handwriting trembles or becomes smaller and smaller, which is called micrographia sign. Walking slowly with small steps, the feet can hardly leave the ground, and the center of balance is lost when walking. The person often walks faster and faster like a forward rush, and cannot stop immediately. This is called a panic gait. Due to postural reflex disorders when walking, there is a lack of coordinated movement of the upper limbs.

4. Other symptoms: Autonomic dysfunction: Patients have excessive secretion of sweat, saliva and sebum, and often have stubborn constipation. Medical teaching. The Education Network has collected and sorted out mental symptoms and intellectual disabilities: emotional instability and depression are the most common. About 15% to 30% of patients have intellectual disabilities, with memory loss, especially recent memory loss, being the most obvious. In severe cases, it may manifest as dementia.