Asterixis, hand tremor or asterixis, which is a tremor in the form of flapping wings, is a movement disorder that still makes it difficult to maintain hand movements.. and it occurs in the arms, but it can Occur in other areas of the body as well.... Asterixia causes rapid and uneven movements after a slight decrease in muscle tone.... Its effect on the hand and arm is compared to the shaking of a bird in flight.... This problem is sometimes a sign of some serious diseases.... It is often related to hepatic encephalopathy and other brain function problems, and some special drugs must play a role in its treatment.. Describe the symptoms of asterixia, its causes, diagnosis and treatment.... 1949 was seen in people with liver disease and it was called "hepatic flap", although this term is not an appropriate description of the disorder.. The term "Asterixis" derived from the words "un" and "strong" is no longer the accepted and preferred name for this condition that soon increases your symptoms.. Achieving the best results.... Proper treatment will help improve a person's general health and reduce or eliminate the symptoms of Asterixis.... for Diagnosis and treatment Asterixis, you can visit Dr. Zohra Eshghi's clinic in Shiraz.** Types of Asterixis Asterixis is classified as bilateral or unilateral. Bilateral asterixis, which is the most common type, affects both sides of the body, and unilateral asterixis affects one side of the body. Both types of asterixis are signs of a more serious underlying disease. Symptoms of asterixia are irregular, asynchronous (do not occur at the same time), and vary in frequency and severity....In bilateral asterixis, one side may be more severely affected than the other....Symptoms of asterixis are likely to vary based on the underlying cause of the disorder and the muscle group affected....Muscle relaxation does not cause symptoms of asterixis...although the tongue, legs, and all skeletal muscles can be involved.. A person with asterixia may experience the following symptoms when attempting to stabilize the affected body part, possibly after a slight loss of muscle tone in the involved muscles: - Negative myoclonus (sudden and involuntary muscle contraction due to muscle relaxation and loss of muscle tone) - Unbalanced vibration - Asynchronous tremor, in bilateral asterixis, except facial muscles Read more: Hand physiotherapy in Shiraz Cause of asterixis The causes of asterixia remain largely unknown.. This disease is associated with a wide range of problems related to neurological (neurological) disorders and other types of disorders.. According to research, the cause of this disease is a defect in the primary motor cortex.. the area of ​​the brain responsible for initiating body movements. blood circulating in the body), disrupts the ability to control movement... The following are the causes of bilateral asterixis: - **Metabolic encephalopathies:** including liver failure, heart failure, respiratory failure and azotemia (increased blood urea nitrogen (BUN)) - **Sedatives:** Benzodiazepines and barbiturates Anticonvulsants: Dilantin (phenytoin), Tegretol (carbamazepine), Depakote (valproic acid) and Neurontin (gabapentin) - **Anti-insanity:** Lithium - **Antibiotic:** Fortase (ceftazidime) - **Antiemetic:** Reglan (metoclopramide) - Bilateral brain lesions - **Biochemical abnormalities:** Hypomagnesemia (lower than normal level of magnesium) and hypokalemia (lower than normal level of potassium) The cause of unilateral asterixis is related to the presence of brain lesions concentrated in the areas below the brain: - Thalamus - Corona radiata - Anterior cerebral artery region or anterior cerebral artery - Primary motor cortex - Parietal lobe - cerebellum - Middle brain - Cerebral bridge or pons Diagnosis of asterixis The main method of diagnosing asterixia is a physical examination and performing an asterixia test, in which the patient is told: 1\.... stand with your eyes closed.... 2\.... bend your wrists (bend from the top towards the forearm, like the position of the hands during a traffic stop).... 3\.... spread your fingers as if you are pressing against a wall.... The patient should stay in this position for 30 seconds. The patient should lie on their back and bend their knees outward....Knees should fall to the sides while the legs are straight....If asterixis is present, a series of rocking movements (rocking posture) will occur....Depending on the person's overall health and symptoms, the health care provider may order one or more of the following tests to make a definitive diagnosis: - Blood tests to measure the levels of chemicals or minerals in the blood CT scan (CT) or MRI (MRI) to check brain function and identify damage or abnormalities associated with symptoms - Electroencephalogram (EEG) to check the electrical activity of the brain and identify encephalopathy or stroke Based on the results of the tests, the health care provider may order additional tests or, if the underlying disease causing asterixis is not known, refer the patient to a specialist to identify the cause. If the disease has already been diagnosed, the diagnosis of asterixis is used to predict the condition of that disease. There is no specific treatment for asterixis. be done.. for example, Asterixis is the most common symptom of hepatic encephalopathy.. a reversible syndrome that occurs in advanced liver disease.. If asterixis is associated with this condition, the following treatments are recommended: - Taking Xifaxan (rifaximin) to kill bacteria - Discontinue and/or change medications that may be contributing to symptoms - Taking Generalak (lactulose) to prevent ammonia absorption and remove excess ammonia from the large intestine - Making recommended changes in lifestyle and diet to reduce health risks Read more: Treatment of hand and arm weakness in Shiraz ### Predicting the outcome of asterixia treatment Expectations of the treatment outcome for patients with asterixis are relatively good.... By treating or improving the underlying disease that causes asterixis, the symptoms are reduced or improved.... For example, the symptoms of hepatic encephalopathy are usually reversible.... The time and degree of recovery of this disease varies depending on the severity of the underlying disease and its treatability.... ### Dealing with Asterixis Asterixis can make normal life difficult, especially if the tremor is in the hands and wrists.... Asterixis makes it difficult to do everyday tasks like writing, driving, and cooking. Often the problem It involves the hands and wrists...but it may also occur in the legs, hips, neck, lips, eyelids, or any other skeletal muscle. Cheers, Presenter....