However, most cases are idiopathic. However, the majority of these patients have relapses. Treatment is generally disappointing. Behavioral changes may help. Biofeedback, hypnotherapy, and relaxation therapy have been tried.
Patients can use a writing device or other means of transcription, such as typing or dictation.
Anticholinergics have had conflicting results. Beta-blockers have helped the tremor in a few patients. Botulinum toxin injections seem to have the best results. Anticholinergic - Blocking cholinergic innervation of the basal ganglia is hypothesized to increase the dopaminergic effect, thereby reducing dystonia. Pregnancy C - Safety for use during pregnancy has not been established.