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- a shaky voice
- a rhythmic shaking affecting the arms and hands, and less commonly the legs, head, and torso
- difficulty holding or controlling a pen, spoon, or other tool or utensil
A 2012 review estimates that tremor affects between 25 to 50 percent of people with MS. Severe tremors may affect up to 15 percent of people with MS.
For people with MS, tremors are usually caused by brain lesions (specifically in the cerebellum) and damaged areas — called plaques — along the nerve pathways that are involved with coordinating movement.
The same plaques sometimes also result in other symptoms such as dysphagia (difficulty swallowing) or dysarthria (difficulty speaking).
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