[Analysis of the causes of increased tremor in thyroid hyperfuction]

The authors present the results of examination of tremor (hand and trunk) of the amplitude of H- and T-reflexes and of the H-reflex inhibition during the contraction of antagonistic muscles and of facilitattion of T- and H-reflexes during the Yendrassik maneuvre in 33 children with hyperfunction of the thyroid gland and 20 normal subjects. It was established that the amplitude of tremor was greater and the frequency was less in these patients than in normal subjects; the amplitude of the H- and T-reflexes was enhanced, and the intensity of reciprocal inhibition of the soleus muscle motor neurons was less in the patients. Comparison of the amplitude of the T- and H-reflexes indicated that against the background of the Yendrassik maneuvre facilitation of the T-reflex was less intense and facilitation of the H-reflex was more intense than in normal subjects. The authors supposed that the enhanced tremor in the patients was due to the motor neurons pool depolarization, to decrease the efficacy of reciprocal inhibition and to diminished suprasegmental influences spread to the gamma-motor neurons.