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The New York Times
July 22, 2003

Head and Hand Tremors
By C. CLAIBORNE RAY

Q. Why did Katharine Hepburn's head shake?

A. Katharine Hepburn's ailment, recently discussed on television by her niece Katharine Houghton, was not Parkinson's
disease, but a progressive yet treatable neurological disorder called essential tremor. Ms. Hepburn's was referred to
as familial tremor, the inherited form. Each child of a parent with the disease has a 50 percent chance of inheriting a
gene that causes it. In other cases, there is no family history.

The disorder, which varies in location and severity, used to be called palsy. The International Essential Tremor
Foundation, which offers information and helps search for a cure, says the disease stems from abnormal communication
among areas of the brain, including the cerebellum, thalamus and brain stem. The group estimates that 10 million people
in the United States and 200 million people worldwide have some form of the problem, often undiagnosed.

Many do not seek treatment because they fear Parkinson's or think tremors are part of aging. Shaking, usually starting
with the hands, can begin at any age but is more common in older people; tremors starting with the head are more common
in women.

"Someone with an unexplained tremor should consult a neurologist who specializes in movement disorders," said Catherine
Rice, a foundation spokeswoman. Its Web site, http://www.essentialtremor.org , includes a list of specialists.

SOURCE: The New York Times
http://www.nytimes.com/2003/07/22/health/22QNA.html

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