Inclusion Criteria:  Patient diagnosed with Essential tremors or Essential tremors plus based on the movement disorders consensus criteria(appendix 1) Patient should have significant residual tremors despite of using appropriate medical treatment. Age: patient should be above 18 years old. Gender: males and females.  Exclusion Criteria:  Patients with history of seizures.  Patient receiving tremor active drugs including:  Central cholinergic drugs (acetylcholine chloride, muscarinic and nicotinic agonists, anticholinesterases, and aminopropranolols) Central monoaminergic drugs (neuroleptics, phenylethylamines, and indoles) Peripheral adrenergic drugs (lithium carbonate, amphetamine sulfate, adrenocorticosteroids, and thyroid hormone supplements) Anticonvulsants (valproic acid), bronchodilators (theophylline and terbutaline sulfate) Antidepressants (amitriptyline hydrochloride).  patients who have metal or electronic device implanted in their body such as :  cardiac peace maker Aneurysm clips or coils Stents in the neck or brain Deep brain stimulators Spinal cord stimulators Electrodes to monitor brain activity Metallic implants in ears and eyes Bullet fragments in or near the head Baclofen pumps Other metal devices or object implanted in or near the head