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Head injury, nose bleed, tremors. Could previous head injuries be the cause of tremor or is it possible essential tremor?

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I was in a car accident. Hit the side of my head not the nose. Next day n the day after got a pretty good nose bleed. Never had one b4 n haven't had one since. However I have head hand abdominal facial/jaw tremors now. Accident happened 19 yrs ago.first recalled tremor hapened either a yr prior or same yr.cant recall. Also fell n hit my head in elementary school n was unconscience. Same time frame (7-15) me n friends made ourselves black out n I fell like a tree n hit my head on a door. Cld n e of these b the cause of tremor or is it probably essential tremor? I question it being et cause when tremors r really bad confusion n a dizzy feeling r also present. Also have sim facial changes. I smile n expressions r natural on the left side but have to make sure my right side of lips n my cheek r too. Also. Cannot raise my right eyebrow (arch) very well if at all. I'm now 34 n seems to slowly progress.what do u think? Oh n I've seen a neurologist. Said I had a central tremor of sum kind but I couldn't afford the tests to find the cause n diagnosis
Also neurologist prescribed propronol. Took it for 3 months but made me feel soool bad I stopped. Felt very nauseous n lite headed the entire time...yuck. I am over weight but only since the last 3 yrs or so,yet I have what I perceive as low bp. bout 100/79 but went to urgent care few months back for excruciating abdominal pain that lasted 3 days. Rn took my bp and it was 50 something/70!she said I was just really relaxed. Funny thing is when I feel the most jittery n anxious my bp never shows that. I am NOT relaxed! Also had heatstroke when I was 23 n scarlet fever. At first thought tremors cld b because of the stroke or fever but it happened 8-9 yrs after my first tremor episode. Tremors only happened once in a blue moon till bout 7yrs ago. Then became much more frequent ( daily). What I noticed always was my head tremor ( no no motion). But friends said they noticed my hands more which I did not. Was misdiagnosed by 3 drs n saying I had anxiety! 1 even put me on Wellbutrin one of the worst things for a tremor pt. I had to self diagnose n went as a cash pt to neuro. I now have unusually excessive sweating n difficulties w articulation in addition to the other symptoms I previously mentioned. I have been dealing w this for soooooo long that I'm just done going to drs who couldnt care less n thus more or less give a dx of whatever possibly dx I may have mentioned. Eve neuro said probable et even though he said sim kind of central tremor. Et is not caused by Cns! Pls help! Cold stoke of fever have exsaserbated this tremor issue? Also had multiple. Whip lash befor teens from turning head tool quickly. Always had mild issues w proper pronounciation of certain words. Ex peel I would say pell. To pronounce the eel in peel I must make an exaggerated effort to properly align my jaw so as to say it correctly. I believe it has a connection w the "laziness" on my right side of my face. Also when I hit the side of my head in the car accident it was on the left side.
Posted Wed, 27 Jun 2012 in Brain and Spine
Answered by Dr. Shiva Kumar R 1 hour later

Thank you for sending your question.

Your question is a good one and I will work on providing you with some information and recommendations regarding the problems you are experiencing.

Regarding the nose bleeds also called as Epistaxis is a common problem usually seen due to local causes like blunt trauma to the face and nose-picking. Thought there was no direct injury to the nose, blunt trauma can cause temporary nose bleeds and is not of major concern. Treatable causes like hypertension needs to be exuded.

Regarding the tremors in the hand, head and jaw I would like to consider the possibility of essential tremor. If you have one or more family members with similar tremors the diagnosis of essential tremor can be confirmed.

Regarding the facial changes I feel the descriptions provided looks like you have facial weakness on the right side. If you feel your symptoms are progressive then you need to consider doing an MRI scan of the brain to exclude other serious causes.

My recommendation would be for you to see your Neurologist for a CAT or MRI scan of the brain to exclude structural reasons for your progressive neurological disease. You may need medications like beta blockers to control your tremors if they are disabling you. If nose bleeds recur an opinion from ENT surgeon is required to exclude local causes.

I thank you again for submitting your question. I hope you find my response to be both helpful and adequate.

If you have any additional concerns regarding your question I would be happy to address them.


Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.
Above answer was peer-reviewed by
Follow-up: Head injury, nose bleed, tremors. Could previous head injuries be the cause of tremor or is it possible essential tremor? 38 hours later
Hi thanks for the response. No offense but I saw what u put down for the nose bleed already. It was stated, verbatim, on this website med dictionary. I don't want to pay for a service if there is no service provided. I can copy n paste fine on my own. I'd prefer not to pay someone to do it for me. That being said... Dr if u Could pls continue reading my post u will find I'd submitted additional details. Pls provide sum expert advice not scripts from a book. Pls read all I wrote b 4 responding. It was quit apparent u did not w the 1st response. My questions r this.... Besides et what else clad cause my symptoms? Keep in mind that my tremors also include severe confussion n a sense of feeling dizzy. Also they can b very rigid contractions n have occurred twice in mu leg shock is not consisten w et nor is et a cns tremor,which is the only concrete info I got from my visit to neuro. Pls do not mention beta blockers as I already stated how horrible they made me feel. Also considerable issues w articulation due to my jaw and balance problems. If u cld tell me the residual effects in persons who had scarlet fever but did not get treatment. fever left my face n neck very inflamed swollen n burnt. Felt like the worst sunburn I'd ever had.even eyelids were super puffy. When healing began my facial n neck skin turned into a XXXXXXX n became think and peeled of in thick pieces. Felt very leathery. Also if u cld comment on lasting effects of heatstroke. I bring these issues up because I'm curious as to wether they may have contributed to the tremors or if perhaps all these symptoms r related to one diagnosis. To date my symptoms are low bp,dropping as low as 50/70 ( keep in mind I'm 40 lbs overweight so it's unusual). Tremors in my head hands abdomin jaw tongue n right leg. Considerable changes to the anatomy of my face, all seems to be shifting towards the left side of my face n I have muscle weakness on the right with issues smiling w the right side of lips n cheek n difficulty arching right eye brow. I have embarrassing amounts of perspiration n when tremors r very bad a state of feeling catatonic is present. Serious confussion n comprehension n a sense of dizziness. Also I do have considerable muscle cramping in general. Another thing to mention is that my tremors do occur when I'm resting and have woke me up once so I know they occur, at least that one time, during sleep which again is not consistent with essential tremor. Thanks for ur second look at this....
Answered by Dr. Shiva Kumar R 10 hours later

Thank you for valuable comments.

When I initially went through your problem I could only see the first paragraph and is the reason for missing additional details given by you earlier.

Regarding the nose bleeds as mentioned earlier the commonest cause is local problems in the ear. If not we need to rule out bleeding disorders which also can present with nose bleeds.

Regarding the tremors I feel the descriptions looks like ET. However confusion and dizziness during the tremors is odd. In view of dizziness, balance problems and episodes of confusion during tremors I would like to exclude CNS cause for all these problems.

Scarlet fever and heat stroke rarely causes problems in the brain and is not the cause of your current symptoms. Regarding the low BP, dizziness and muscle cramps could be due to low blood pressure. In this I would like to consider the possibility of autonomic neuropathy which can cause tremors, fluctuating blood pressures, excessive perspiration and muscle cramps.

So I recommend you to see your Cardiologist for tilt table test and Holter monitoring to confirm the possibility of Autonomic Neuropathy. If positive we can work you up for the possible causes of AN. In view of this Betablockers cannot be used at this point of time. Only other option for you is Primidone and Botox injections for the tremors.

I thank you again for submitting your question. I hope you find my response to be both helpful and adequate.

If you have any additional concerns regarding your question I would be happy to address them.


Dr Shiva Kumar R
Consultant Neurologist & Epileptologist.
Above answer was peer-reviewed by
Follow-up: Head injury, nose bleed, tremors. Could previous head injuries be the cause of tremor or is it possible essential tremor? 12 hours later
Thank you so much for delving deeper into my symptoms and possible relation to one another. I apologize for my harsh criticism in my last correspondence. I have, however, experienced tooooo many drs who r all to eager to give me the first n easiest dx. At this stage in the game I've been researching my symptoms privately n once ive concluded that a conditions behavior is mimicking my own issues I go to the dr n dr simply confirms my self discovered dx. I cannot begin to tell I how incredibly frustrating this has been for me. Seems to me that the drs I've encountered r employed for the hefty earnings vs. the once admiral desire to help hurting people. I'll look into ur dx n consult w a cardiologist. Thank you again
Excuse my terminology. I understand that u have not made a dx but merely offered expert opinions, therefor pls omit my statement of XXXXXXX your dx XXXXXXX n replace w XXXXXXX ur expert opinion XXXXXXX Being educated in the medical field myself I understand the need for accurate terminology. Thank you again ....
Answered by Dr. Shiva Kumar R 30 hours later

Thanks for the comments.

I only can think of this possibility at this point of time. Do consider this possibility and XXXXXXX your Cardiologist for the diagnosis.

Wishing you good health.

Dr Shiva Kumar R
Consultant Neurologist & Epileptologist
Above answer was peer-reviewed by
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