Conversation: The conversation between human and AI assistant.
[|Human|] I have been diagnosed trigeminal neuralgia my partner heard something on the radio this morning regarding this. my pain is helped by trileptal and lyrical which help but not all the time plus they make me very tired and my hands tremble all the time. my doctor is very good and will be inserting a stimulator implant in September. I am hoping I am doing the right thing - can you give me a little advice?
[|AI|]  Hi and thanks for the query, I am afraid trembling hands have actually got nothing to do with trigeminal neuralgia. Trembling could be essential, with not associated disease or pathological. Pathological tremor could be tremor at rest (resting tremor) usually seen in Parkinson s disease. In this case, it shall be associated to other phenomena like stiffness and reduced steps while walking. Intention tremor, which is characterized by trembling as you move towards the intended object is mainly usually due to a disease in the part of the brain called the cerebellum. I would advise you obtain a complete clinical review from a neurologist. Thanks and kind regards, Bain LE, MD.