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Home Gossip

‘Downton Abbey’ creator undergoes ‘terrifying’ tremor procedure

Story Center by Story Center
September 17, 2025
Reading Time: 4 mins read
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'Downton Abbey' creator undergoes 'terrifying' tremor procedure

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He gave Mr. Carson a tremor — but behind the scenes, Julian Fellowes was the one shaking.

The “Downton Abbey” creator recently opened up about how he’s overcoming a supposedly “incurable” condition that made everyday tasks nearly impossible, thanks to a “terrifying” yet “revolutionary” procedure.

“You’re kept awake the whole time,” Fellowes, 76, said in a new video with Insightec, which documents his journey to treat a little-known neurological disorder that affects an estimated 1 in 5 adults over the age of 65.

Julian Fellowes has been living with a tremor in his hands for more than a decade. FilmMagic

What condition does Julian Fellowes have?

It’s called an essential tremor, a nervous system disorder that causes uncontrollable, rhythmic shaking. It can strike almost any part of the body but most often hits the hands, arms, head and voice, according to the Mayo Clinic.

Often confused with Parkinson’s disease, essential tremors flare up during movement — like lifting a cup or writing. Parkinson’s shakes tend to be most prevalent when the body is at rest.

Anyone can develop the movement disorder, but it’s most common in older adults.

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“It started for me around my mid-60s,” Fellowes said. “At the beginning I was in denial and I sort of said, ‘Oh, wonder what’s the matter with me today.’ But gradually I realized it was a condition.”

Fellowes created both “The Gilded Age” and “Downton Abbey,” the final installment of which came out this month. ©Focus Features/Courtesy Everett Collection

What are the symptoms?

The main symptom is shaking, usually in the hands. The trembling tends to worsen with movement, but things like stress, fatigue and caffeine can also exacerbate it.

As it advances, the tremor can take a major toll on your quality of life — making it tough to eat, drink or even get dressed independently.

“Doing up buttons, fastening a tie — everything became a labor. My cuff links would go flying off,” Fellowes said in an interview with Britain’s the Times. “It is very, very depressing and upsetting.”

On “Downton,” Mr. Carson also has a tremor. ©Focus Features/Courtesy Everett Collection

What causes it?

Experts aren’t exactly sure, but research suggests essential tremor is linked to changes in specific areas of the brain, according to the Cleveland Clinic.

What is known is that the condition often runs in families, with about half of all cases inherited. Currently, there’s no known way to prevent it.

Can you treat an essential tremor?

When Fellowes was first diagnosed, a specialist told him the condition was “incurable.” Over the last decade, however, new treatments have emerged.

Options include medication, physical therapy, assistive devices or deep brain stimulation. But the “Gilded Age” creator chose a treatment that sounds straight out of a science fiction movie.

Focused ultrasound thalamotomy for essential tremor was approved by the FDA in 2016. Youtube

In May, he underwent a noninvasive procedure that fires MRI-guided focused ultrasound beams into the brain, targeting and destroying the tremor-producing tissue without harming surrounding areas.

“They put this metal crown on to keep your head still, which is quite unpleasant,” he told the Times. He was conscious during the entire operation so doctors could monitor his responses.

It was an almost-instant success.

In a video, Fellowes can be seen effortlessly drawing spirals on paper — a dramatic improvement from the shaky spiral he scrawled down before the procedure.

Thanks to the procedure, Fellowes can write by hand again. Youtube

He even managed to drink from a glass.

“That’s quite strange, actually, because I haven’t trusted myself to do that for some time,” he said.

Just a month after the treatment, Fellowes regained his ability to write by hand.

“For me at least, this was worth it, and I haven’t regretted it for one second,” he said.

Fellowes isn’t alone. A 2022 study found patients with essential tremor maintained a 73% reduction in shaking severity five years after undergoing a focused ultrasound thalamotomy.

“I’ve had the treatment and I’ve, in a sense, cured the tremor in my right hand. And I want people to know that,” he said. “I hope that I can be of some small use in getting it known.”

‘ The preceding article may include information circulated by third parties ’

‘ Some details of this article were extracted from the following source celebrity.land ’

Tags: brainscelebritiesDownton Abbeyhealthincurable degenerative diseaseJulian FellowesNeurosciencesurgery
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