Associated movement disorders in orthostatic tremor
Identifieur interne : 001549 ( Main/Exploration ); précédent : 001548; suivant : 001550Associated movement disorders in orthostatic tremor
Auteurs : Tiago A. Mestre [Canada, Portugal] ; A. E. Lang [Canada] ; Joaquim J. Ferreira [Portugal] ; Vânia Almeida [Portugal] ; Mamede De Carvalho [Portugal] ; Janis Miyasaki [Canada] ; Robert Chen [Canada] ; Susan Fox [Canada]Source :
- Journal of neurology, neurosurgery and psychiatry [ 0022-3050 ] ; 2012.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
Abstract
Introduction Orthostatic tremor is a rare tremor syndrome triggered exclusively by standing, with pathognomonic neurophysiological features. More recently, it has been suggested that orthostatic tremor can present either in isolation (pure orthostatic tremor) or associated with other movement disorders (orthostatic tremor-plus). The present study aims at expanding the knowledge concerning orthostatic tremor associated with other movement disorders. Methods A retrospective case review of the clinical and neurophysiological data of patients diagnosed with orthostatic tremor. Results Median age of onset was 61 years with a median diagnostic delay of 4.5 years. Orthostatic tremor-plus accounted for eight cases (30.8%). The associated movement disorders were Parkinson's disease (n=1), parkinsonism (n=1), progressive supranuclear palsy (n=1), restless leg syndrome (n=1), multifocal action tremor (n=2), pathological proven dementia with Lewy bodies (n=1) and focal dystonia of the arm (n=1). There were no significant differences between primary orthostatic tremor and orthostatic tremor-plus in demographics, clinical presentation of orthostatic tremor, findings in neurophysiological studies and response to treatment. In the majority of cases (n=18, 72%), there was a progressive and disabling course with refractoriness to medical therapy without significant differences between pure orthostatic tremor and orthostatic tremor-plus. Conclusion One of the largest series on orthostatic tremor is presented and the second only focused on additional movement disorders. A progressive course was found, with increasing disability associated with orthostatic tremor. Dementia with Lewy bodies and task specific arm dystonia are reported for the first time as associated movement disorders.
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Mestre</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Neurology, Movement Disorders Centre, Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University Health Network, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neurosciences, Hospital de Santa Maria</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Neurological Clinical Research Unit, Instituto de Medicina Molecular, Faculty of Medicine of Lisbon</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A. 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aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Neuromuscular Unit, Instituto de Medicina Molecular, Faculty of Medicine of Lisbon</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="De Carvalho, Mamede" sort="De Carvalho, Mamede" uniqKey="De Carvalho M" first="Mamede" last="De Carvalho">Mamede De Carvalho</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neurosciences, Hospital de Santa Maria</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Neuromuscular Unit, Instituto de Medicina Molecular, Faculty of Medicine of 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type="wicri:Area/Main/Exploration">001549</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a">Associated movement disorders in orthostatic tremor</title><author><name sortKey="Mestre, Tiago A" sort="Mestre, Tiago A" uniqKey="Mestre T" first="Tiago A." last="Mestre">Tiago A. Mestre</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Neurology, Movement Disorders Centre, Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University Health Network, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neurosciences, Hospital de Santa Maria</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Neurological Clinical Research Unit, Instituto de Medicina Molecular, Faculty of Medicine of Lisbon</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A. E." last="Lang">A. E. Lang</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Neurology, Movement Disorders Centre, Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University Health Network, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Ferreira, Joaquim J" sort="Ferreira, Joaquim J" uniqKey="Ferreira J" first="Joaquim J." last="Ferreira">Joaquim J. Ferreira</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neurosciences, Hospital de Santa Maria</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Neurological Clinical Research Unit, Instituto de Medicina Molecular, Faculty of Medicine of Lisbon</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Almeida, Vania" sort="Almeida, Vania" uniqKey="Almeida V" first="Vânia" last="Almeida">Vânia Almeida</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neurosciences, Hospital de Santa Maria</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Neuromuscular Unit, Instituto de Medicina Molecular, Faculty of Medicine of Lisbon</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="De Carvalho, Mamede" sort="De Carvalho, Mamede" uniqKey="De Carvalho M" first="Mamede" last="De Carvalho">Mamede De Carvalho</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Department of Neurosciences, Hospital de Santa Maria</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>1 aut.</sZ><sZ>3 aut.</sZ><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="04"><s1>Neuromuscular Unit, Instituto de Medicina Molecular, Faculty of Medicine of Lisbon</s1><s2>Lisbon</s2><s3>PRT</s3><sZ>4 aut.</sZ><sZ>5 aut.</sZ></inist:fA14><country>Portugal</country><wicri:noRegion>Lisbon</wicri:noRegion></affiliation></author><author><name sortKey="Miyasaki, Janis" sort="Miyasaki, Janis" uniqKey="Miyasaki J" first="Janis" last="Miyasaki">Janis Miyasaki</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Neurology, Movement Disorders Centre, Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University Health Network, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Chen, Robert" sort="Chen, Robert" uniqKey="Chen R" first="Robert" last="Chen">Robert Chen</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Neurology, Movement Disorders Centre, Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University Health Network, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author><author><name sortKey="Fox, Susan" sort="Fox, Susan" uniqKey="Fox S" first="Susan" last="Fox">Susan Fox</name><affiliation wicri:level="4"><inist:fA14 i1="01"><s1>Division of Neurology, Movement Disorders Centre, Edmond J Safra Program in Parkinson's disease, Toronto Western Hospital, University Health Network, University of Toronto</s1><s2>Toronto, Ontario</s2><s3>CAN</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ><sZ>6 aut.</sZ><sZ>7 aut.</sZ><sZ>8 aut.</sZ></inist:fA14><country>Canada</country><placeName><settlement type="city">Toronto</settlement><region type="state">Ontario</region></placeName><orgName type="university">Université de Toronto</orgName></affiliation></author></analytic><series><title level="j" type="main">Journal of neurology, neurosurgery and psychiatry</title><title level="j" type="abbreviated">J. neurol. neurosurg. psychiatry</title><idno type="ISSN">0022-3050</idno><imprint><date when="2012">2012</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Journal of neurology, neurosurgery and psychiatry</title><title level="j" type="abbreviated">J. neurol. neurosurg. psychiatry</title><idno type="ISSN">0022-3050</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Nervous system diseases</term><term>Tremor</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Tremblement</term><term>Pathologie du système nerveux</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Introduction Orthostatic tremor is a rare tremor syndrome triggered exclusively by standing, with pathognomonic neurophysiological features. More recently, it has been suggested that orthostatic tremor can present either in isolation (pure orthostatic tremor) or associated with other movement disorders (orthostatic tremor-plus). The present study aims at expanding the knowledge concerning orthostatic tremor associated with other movement disorders. Methods A retrospective case review of the clinical and neurophysiological data of patients diagnosed with orthostatic tremor. Results Median age of onset was 61 years with a median diagnostic delay of 4.5 years. Orthostatic tremor-plus accounted for eight cases (30.8%). The associated movement disorders were Parkinson's disease (n=1), parkinsonism (n=1), progressive supranuclear palsy (n=1), restless leg syndrome (n=1), multifocal action tremor (n=2), pathological proven dementia with Lewy bodies (n=1) and focal dystonia of the arm (n=1). There were no significant differences between primary orthostatic tremor and orthostatic tremor-plus in demographics, clinical presentation of orthostatic tremor, findings in neurophysiological studies and response to treatment. In the majority of cases (n=18, 72%), there was a progressive and disabling course with refractoriness to medical therapy without significant differences between pure orthostatic tremor and orthostatic tremor-plus. Conclusion One of the largest series on orthostatic tremor is presented and the second only focused on additional movement disorders. A progressive course was found, with increasing disability associated with orthostatic tremor. Dementia with Lewy bodies and task specific arm dystonia are reported for the first time as associated movement disorders.</div></front></TEI><affiliations><list><country><li>Canada</li><li>Portugal</li></country><region><li>Ontario</li></region><settlement><li>Toronto</li></settlement><orgName><li>Université de Toronto</li></orgName></list><tree><country name="Canada"><region name="Ontario"><name sortKey="Mestre, Tiago A" sort="Mestre, Tiago A" uniqKey="Mestre T" first="Tiago A." last="Mestre">Tiago A. Mestre</name></region><name sortKey="Chen, Robert" sort="Chen, Robert" uniqKey="Chen R" first="Robert" last="Chen">Robert Chen</name><name sortKey="Fox, Susan" sort="Fox, Susan" uniqKey="Fox S" first="Susan" last="Fox">Susan Fox</name><name sortKey="Lang, A E" sort="Lang, A E" uniqKey="Lang A" first="A. E." last="Lang">A. E. Lang</name><name sortKey="Miyasaki, Janis" sort="Miyasaki, Janis" uniqKey="Miyasaki J" first="Janis" last="Miyasaki">Janis Miyasaki</name></country><country name="Portugal"><noRegion><name sortKey="Mestre, Tiago A" sort="Mestre, Tiago A" uniqKey="Mestre T" first="Tiago A." last="Mestre">Tiago A. Mestre</name></noRegion><name sortKey="Almeida, Vania" sort="Almeida, Vania" uniqKey="Almeida V" first="Vânia" last="Almeida">Vânia Almeida</name><name sortKey="Almeida, Vania" sort="Almeida, Vania" uniqKey="Almeida V" first="Vânia" last="Almeida">Vânia Almeida</name><name sortKey="De Carvalho, Mamede" sort="De Carvalho, Mamede" uniqKey="De Carvalho M" first="Mamede" last="De Carvalho">Mamede De Carvalho</name><name sortKey="De Carvalho, Mamede" sort="De Carvalho, Mamede" uniqKey="De Carvalho M" first="Mamede" last="De Carvalho">Mamede De Carvalho</name><name sortKey="Ferreira, Joaquim J" sort="Ferreira, Joaquim J" uniqKey="Ferreira J" first="Joaquim J." last="Ferreira">Joaquim J. Ferreira</name><name sortKey="Ferreira, Joaquim J" sort="Ferreira, Joaquim J" uniqKey="Ferreira J" first="Joaquim J." last="Ferreira">Joaquim J. Ferreira</name><name sortKey="Mestre, Tiago A" sort="Mestre, Tiago A" uniqKey="Mestre T" first="Tiago A." last="Mestre">Tiago A. Mestre</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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