Serveur d'exploration autour de Joseph Jankovic

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Peripherally induced tremor and parkinsonism.

Identifieur interne : 000298 ( PubMed/Corpus ); précédent : 000297; suivant : 000299

Peripherally induced tremor and parkinsonism.

Auteurs : F. Cardoso ; J. Jankovic

Source :

RBID : pubmed:7872879

English descriptors

Abstract

Trauma to the peripheral nervous system is a well-recognized cause of dystonia and tremor, but peripherally induced parkinsonism has not previously been documented. We seek to characterize peripherally induced tremor and parkinsonism and propose possible mechanisms for this phenomenon.

PubMed: 7872879

Links to Exploration step

pubmed:7872879

Le document en format XML

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<name sortKey="Cardoso, F" sort="Cardoso, F" uniqKey="Cardoso F" first="F" last="Cardoso">F. Cardoso</name>
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<nlm:affiliation>Department of Neurology, Baylor College of Medicine, Houston, Tex.</nlm:affiliation>
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<name sortKey="Jankovic, J" sort="Jankovic, J" uniqKey="Jankovic J" first="J" last="Jankovic">J. Jankovic</name>
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<title level="j">Archives of neurology</title>
<idno type="ISSN">0003-9942</idno>
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<term>Adult</term>
<term>Arm Injuries (complications)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Neck Injuries</term>
<term>Parkinson Disease (etiology)</term>
<term>Peripheral Nerve Injuries</term>
<term>Tooth Injuries (complications)</term>
<term>Tremor (etiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Arm Injuries</term>
<term>Tooth Injuries</term>
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<term>Parkinson Disease</term>
<term>Tremor</term>
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<term>Adult</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<div type="abstract" xml:lang="en">Trauma to the peripheral nervous system is a well-recognized cause of dystonia and tremor, but peripherally induced parkinsonism has not previously been documented. We seek to characterize peripherally induced tremor and parkinsonism and propose possible mechanisms for this phenomenon.</div>
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<Year>1995</Year>
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<Year>1995</Year>
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<Volume>52</Volume>
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<Month>Mar</Month>
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<Title>Archives of neurology</Title>
<ISOAbbreviation>Arch. Neurol.</ISOAbbreviation>
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<ArticleTitle>Peripherally induced tremor and parkinsonism.</ArticleTitle>
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<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Trauma to the peripheral nervous system is a well-recognized cause of dystonia and tremor, but peripherally induced parkinsonism has not previously been documented. We seek to characterize peripherally induced tremor and parkinsonism and propose possible mechanisms for this phenomenon.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Review of records of patients evaluated in the Movement Disorders Clinic between 1977 and 1993. In addition to demographic and clinical information, the records were screened for any potential predisposing factors.</AbstractText>
<AbstractText Label="PATIENTS" NlmCategory="METHODS">Twenty-eight patients in whom the onset of tremor, parkinsonism, or both was anatomically and temporally related to local injury.</AbstractText>
<AbstractText Label="INTERVENTION" NlmCategory="METHODS">The type and site of injury were verified by history and examination of records whenever possible. Severity of tremor and parkinsonism was assessed by clinical rating scales. Three patients with tremor and parkinsonism had their striatal [18F]-fluorodopa uptake and raclopride binding measured with positron emission tomography.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURE" NlmCategory="METHODS">Response to conventional antitremor and antiparkinsonian medication was assessed by a clinical rating scale.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Severe local injury preceded the onset of movement disorder by 47.5 +/- 74.7 days (mean +/- SD). The mean age at onset of movement disorder was 46.5 +/- 14.1 years. Tremor was present in all 28 patients, 11 of whom exhibited additional parkinsonian features. In 20 patients, the movement disorder spread beyond the original site. Possible predisposing factors were identified in 13 patients; nine had essential tremor or a family history of essential tremor. In addition to tremor, dystonia and myoclonus were evident in 13 and three patients, respectively. Reflex sympathetic dystrophy was present in six patients. Tremor did not improve with medications, and only seven patients with parkinsonism responded to therapy with levodopa.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Central reorganization in response to peripheral injury may give rise to a motor disturbance, including tremor and parkinsonism.</AbstractText>
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