Conversation: The conversation between human and AI assistant.
[|Human|] I HAVE LEFT SIDED BRAIN COMPRESSION FROM A FALL SOME YEARS AGO. AT 54 MY RIGHT LEG STAARTED TO TREMOR THEN LATER MY RIGHT HAND. DUKE DOCTORS RULED OUT PARKINSONS DISEASE RECENTLY BECAUSE THE MEDS DO NOT STOP THE TREMORS BUT MY NEUROLOGIST JUST DOES NOT KNOW WHAT TO DO WITH ME. IT GETS SO BAD I CANNOT DRIVE AT ALL. IS THERE BRAIN SURGERY OUT THERE TO HELP ME?LIZ      YYYY@YYYY
[|AI|]  Hi, Thank you for posting your query. We need to make a correct diagnosis, before deciding on the line of management. If the brain compression was the cause of your problems, it should have started at the time of injury. Also, we do not expect any progression of symptoms in that case. If you have any brain scan report, such as CT or MRI, it would be helpful. Tremors would reduce with medications such as trihexiphenydyl and propranolol. If they have not been tried, it is worth using them for a while to see the response. The only surgery that could be beneficial in tremors is deep brain stimulation, and thalamotomy to a certain extent. Please discuss these with your neurologist. Best wishes, Chat Doctor.