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Long duration asymmetrical postural tremor is likely to predict development of Parkinson's disease and not essential tremor: clinical follow up study of 13 cases

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Long duration asymmetrical postural tremor is likely to predict development of Parkinson's disease and not essential tremor: clinical follow up study of 13 cases

Auteurs : K. Chaudhuri ; M. Buxton ; V. Dhawan ; R. Peng ; C. Meilak ; D. Brooks

Source :

Journal of Neurology, Neurosurgery, and Psychiatry [ 0022-3050 ] ; 2005.

RBID : PMC:1739293

Abstract

Objective: In this study, retrospective observations were made on 13 patients presenting originally with asymmetrical postural tremor, initially thought to have ET based on tremor characteristics, alcohol responsiveness, and family history but who subsequently met the criteria of Parkinson's disease (PD).

Methods: The patients were observed and followed up clinically with ancillary imaging using dopamine transporter SPECT scan or levodopa challenge tests in some cases. The diagnosis at original presentation with postural tremor was made with retrospective case note review.

Results: After a variable and long latent period all patients developed additional signs suggesting a clinical diagnosis of PD although picking up an initial label of ET.

Conclusions: We suggest exercising caution regarding a diagnosis of ET in patients presenting with late onset asymmetrical postural tremor even if there is no rest tremor. Alcohol sensitivity of tremor, family history of tremor, or responsiveness to ß blockers may not be helpful in diagnosing ET in these cases and some may develop PD in the long term.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1739293

DOI: 10.1136/jnnp.2004.046292
PubMed: 15608009
PubMed Central: 1739293

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<author><name sortKey="Chaudhuri, K" sort="Chaudhuri, K" uniqKey="Chaudhuri K" first="K" last="Chaudhuri">K. Chaudhuri</name>
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<author><name sortKey="Buxton Thomas, M" sort="Buxton Thomas, M" uniqKey="Buxton Thomas M" first="M" last="Buxton">M. Buxton</name>
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<author><name sortKey="Dhawan, V" sort="Dhawan, V" uniqKey="Dhawan V" first="V" last="Dhawan">V. Dhawan</name>
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<author><name sortKey="Peng, R" sort="Peng, R" uniqKey="Peng R" first="R" last="Peng">R. Peng</name>
</author>
<author><name sortKey="Meilak, C" sort="Meilak, C" uniqKey="Meilak C" first="C" last="Meilak">C. Meilak</name>
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<author><name sortKey="Brooks, D" sort="Brooks, D" uniqKey="Brooks D" first="D" last="Brooks">D. Brooks</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Long duration asymmetrical postural tremor is likely to predict development of Parkinson's disease and not essential tremor: clinical follow up study of 13 cases</title>
<author><name sortKey="Chaudhuri, K" sort="Chaudhuri, K" uniqKey="Chaudhuri K" first="K" last="Chaudhuri">K. Chaudhuri</name>
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<author><name sortKey="Buxton Thomas, M" sort="Buxton Thomas, M" uniqKey="Buxton Thomas M" first="M" last="Buxton">M. Buxton</name>
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<author><name sortKey="Dhawan, V" sort="Dhawan, V" uniqKey="Dhawan V" first="V" last="Dhawan">V. Dhawan</name>
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<author><name sortKey="Peng, R" sort="Peng, R" uniqKey="Peng R" first="R" last="Peng">R. Peng</name>
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<author><name sortKey="Meilak, C" sort="Meilak, C" uniqKey="Meilak C" first="C" last="Meilak">C. Meilak</name>
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<author><name sortKey="Brooks, D" sort="Brooks, D" uniqKey="Brooks D" first="D" last="Brooks">D. Brooks</name>
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<series><title level="j">Journal of Neurology, Neurosurgery, and Psychiatry</title>
<idno type="ISSN">0022-3050</idno>
<idno type="e-ISSN">1468-330X</idno>
<imprint><date when="2005">2005</date>
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<front><div type="abstract" xml:lang="en"><p><bold>Objective:</bold>
 In this study, retrospective observations were made on 13 patients presenting originally with asymmetrical postural tremor, initially thought to have ET based on tremor characteristics, alcohol responsiveness, and family history but who subsequently met the criteria of Parkinson's disease (PD). </p>
<p><bold>Methods:</bold>
 The patients were observed and followed up clinically with ancillary imaging using dopamine transporter SPECT scan or levodopa challenge tests in some cases. The diagnosis at original presentation with postural tremor was made with retrospective case note review. </p>
<p><bold>Results:</bold>
 After a variable and long latent period all patients developed additional signs suggesting a clinical diagnosis of PD although picking up an initial label of ET. </p>
<p><bold>Conclusions:</bold>
 We suggest exercising caution regarding a diagnosis of ET in patients presenting with late onset asymmetrical postural tremor even if there is no rest tremor. Alcohol sensitivity of tremor, family history of tremor, or responsiveness to ß blockers may not be helpful in diagnosing ET in these cases and some may develop PD in the long term. </p>
</div>
</front>
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<pmc article-type="brief-report"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
  <front><journal-meta><journal-id journal-id-type="nlm-ta">J Neurol Neurosurg Psychiatry</journal-id>
<journal-title>Journal of Neurology, Neurosurgery, and Psychiatry</journal-title>
<issn pub-type="ppub">0022-3050</issn>
<issn pub-type="epub">1468-330X</issn>
<publisher><publisher-name>BMJ Group</publisher-name>
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<article-meta><article-id pub-id-type="pmid">15608009</article-id>
<article-id pub-id-type="pmc">1739293</article-id>
<article-id pub-id-type="doi">10.1136/jnnp.2004.046292</article-id>
<article-categories><subj-group subj-group-type="heading"><subject>Short Report</subject>
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<title-group><article-title>Long duration asymmetrical postural tremor is likely to predict development of Parkinson's disease and not essential tremor: clinical follow up study of 13 cases</article-title>
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<contrib-group><contrib contrib-type="author"><name><surname>Chaudhuri</surname>
<given-names>K</given-names>
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<contrib contrib-type="author"><name><surname>Buxton-Thomas</surname>
<given-names>M</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Dhawan</surname>
<given-names>V</given-names>
</name>
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<contrib contrib-type="author"><name><surname>Peng</surname>
<given-names>R</given-names>
</name>
</contrib>
<contrib contrib-type="author"><name><surname>Meilak</surname>
<given-names>C</given-names>
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<contrib contrib-type="author"><name><surname>Brooks</surname>
<given-names>D</given-names>
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<aff>Department of Neurology, King's College Hospital, Denmark Hill, London, SE5 9RS, UK.<email>Ray.chaudhuri@uhl.nhs.uk</email>
</aff>
<pub-date pub-type="ppub"><month>1</month>
<year>2005</year>
</pub-date>
<volume>76</volume>
<issue>1</issue>
<fpage>115</fpage>
<lpage>117</lpage>
<self-uri xlink:role="pdf" xlink:type="simple" xlink:href="http://jnnp.bmj.com/cgi/reprint/76/1/115.pdf"></self-uri>
<self-uri xlink:role="abstract" xlink:type="simple" xlink:href="http://jnnp.bmj.com/cgi/content/abstract/76/1/115"></self-uri>
<self-uri xlink:role="fulltext" xlink:type="simple" xlink:href="http://jnnp.bmj.com/cgi/content/full/76/1/115"></self-uri>
<abstract><p><bold>Objective:</bold>
 In this study, retrospective observations were made on 13 patients presenting originally with asymmetrical postural tremor, initially thought to have ET based on tremor characteristics, alcohol responsiveness, and family history but who subsequently met the criteria of Parkinson's disease (PD). </p>
<p><bold>Methods:</bold>
 The patients were observed and followed up clinically with ancillary imaging using dopamine transporter SPECT scan or levodopa challenge tests in some cases. The diagnosis at original presentation with postural tremor was made with retrospective case note review. </p>
<p><bold>Results:</bold>
 After a variable and long latent period all patients developed additional signs suggesting a clinical diagnosis of PD although picking up an initial label of ET. </p>
<p><bold>Conclusions:</bold>
 We suggest exercising caution regarding a diagnosis of ET in patients presenting with late onset asymmetrical postural tremor even if there is no rest tremor. Alcohol sensitivity of tremor, family history of tremor, or responsiveness to ß blockers may not be helpful in diagnosing ET in these cases and some may develop PD in the long term. </p>
</abstract>
</article-meta>
</front>
</pmc>
</record>

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Long duration asymmetrical postural tremor is likely to predict development of Parkinson's disease and not essential tremor: clinical follow up study of 13 cases

Long duration asymmetrical postural tremor is likely to predict development of Parkinson's disease and not essential tremor: clinical follow up study of 13 cases

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Abstract

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