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En 60-årig kvinna som tidigare varit frisk söker dig på VC pga skakningar i hö hand. Dessa skakningar har kommit successivt under senaste 5 åren. Skakningarna uppstår ffa när pat skall utföra olika rörelser. Hon undrar nu om det kan vara Parkinsons sjd eftersom hennes väninna har drabbats av detta. Vid undersökningen av pat hittar du tremor. Tremor uppkommer när du ber henne hålla en mugg med vatten vid munnen som om hon skulle dricka. En antydd tremor ses också vid finger-näsförsök på hö sida men den tremorn är betydligt mindre påtaglig. Övrigt rutinnervstatus är normalt. Du bedömer att pats tremor inte har med Parkinsons sjd att göra. Pat finner tremorn besvärande och önskar behandling. Ange lämplig farmakologisk behandling till patienten. 1p

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