Thalamic tremor: Correlations with three‐dimensional magnetic resonance imaging data and pathophysiological mechanisms
Identifieur interne : 000522 ( France/Analysis ); précédent : 000521; suivant : 000523Thalamic tremor: Correlations with three‐dimensional magnetic resonance imaging data and pathophysiological mechanisms
Auteurs : Pierre Krystkowiak [France] ; Pascal Martinat [France] ; François Cassim [France] ; Jean-Pierre Pruvo [France] ; Didier Leys [France] ; Jean-Daniel Guieu [France] ; Alain Destée [France] ; Luc Defebvre [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2000-09.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Arm (physiopathology), Brain Infarction (complications), Brain Infarction (pathology), Brain Infarction (physiopathology), Case study, Cerebral infarction, Complication, Electromyography, Exploration, Female, Humans, Localization, Magnetic Resonance Imaging, Magnetic resonance imaging, Male, Nerve Net (pathology), Nerve Net (physiopathology), Nuclear magnetic resonance imaging, Thalamus, Thalamus (pathology), Thalamus (physiopathology), Three dimensional system, Tremor, Tremor (etiology), Tremor (pathology), Tremor (physiopathology), Young adult.
- MESH :
- complications : Brain Infarction.
- etiology : Tremor.
- pathology : Brain Infarction, Nerve Net, Thalamus, Tremor.
- physiopathology : Arm, Brain Infarction, Nerve Net, Thalamus, Tremor.
- Adult, Electromyography, Female, Humans, Magnetic Resonance Imaging, Male.
Abstract
Tremor associated with a single focal thalamic lesion has rarely been reported. Furthermore, the exact localization of the lesions is difficult to determine because of the imprecision of “conventional” radiology (computed tomography scan and/or “standard” magnetic resonance imaging). The aim of this study was to identify which thalamic structures are involved in tremor associated with a single focal thalamic lesion. We selected two patients who presented with unilateral postural and kinetic tremor of the upper limb related to a localized thalamic infarction. Three‐dimensional T1‐weighted magnetic resonance imaging sequence (MP‐RAGE sequence) was used to determine the precise topography of the lesions by stereotactic analysis using the atlas of Hassler. The lesions were located within the pulvinar, the sensory nuclei, the mediodorsal nucleus, and the ventral lateral posterior nucleus (according to the classification of Hirai and Jones), the latter including the ventral intermediate nucleus (Vim according to the classification of Hassler). However, the Vim was spared. The subthalamic area, which can induce tremor, was not involved. After having compared the topography of the lesions with the clinical findings, we suggest that thalamic tremors may result from the interruption of the cerebellar outflow tract to the Vim within the thalamus.
Url:
DOI: 10.1002/1531-8257(200009)15:5<911::AID-MDS1023>3.0.CO;2-B
Affiliations:
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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>John Wiley & Sons, Inc.</publisher><pubPlace>New York</pubPlace><date type="published" when="2000-09">2000-09</date><biblScope unit="vol">15</biblScope><biblScope unit="issue">5</biblScope><biblScope unit="page" from="911">911</biblScope><biblScope unit="page" to="918">918</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">E60357B45A078D983F202DB45F67C446BF23E64C</idno><idno type="DOI">10.1002/1531-8257(200009)15:5<911::AID-MDS1023>3.0.CO;2-B</idno><idno type="ArticleID">MDS1023</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term><term>Arm (physiopathology)</term><term>Brain Infarction (complications)</term><term>Brain Infarction (pathology)</term><term>Brain Infarction (physiopathology)</term><term>Case study</term><term>Cerebral infarction</term><term>Complication</term><term>Electromyography</term><term>Exploration</term><term>Female</term><term>Humans</term><term>Localization</term><term>Magnetic Resonance Imaging</term><term>Magnetic resonance imaging</term><term>Male</term><term>Nerve Net (pathology)</term><term>Nerve Net (physiopathology)</term><term>Nuclear magnetic resonance imaging</term><term>Thalamus</term><term>Thalamus (pathology)</term><term>Thalamus (physiopathology)</term><term>Three dimensional system</term><term>Tremor</term><term>Tremor (etiology)</term><term>Tremor (pathology)</term><term>Tremor (physiopathology)</term><term>Young adult</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Brain Infarction</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Brain Infarction</term><term>Nerve Net</term><term>Thalamus</term><term>Tremor</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Arm</term><term>Brain Infarction</term><term>Nerve Net</term><term>Thalamus</term><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Adult</term><term>Electromyography</term><term>Female</term><term>Humans</term><term>Magnetic Resonance Imaging</term><term>Male</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Adulte jeune</term><term>Complication</term><term>Etude cas</term><term>Exploration</term><term>Femelle</term><term>Imagerie RMN</term><term>Localisation</term><term>Mâle</term><term>Ramollissement cérébral</term><term>Système 3 dimensions</term><term>Thalamus</term><term>Tremblement</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tremor associated with a single focal thalamic lesion has rarely been reported. Furthermore, the exact localization of the lesions is difficult to determine because of the imprecision of “conventional” radiology (computed tomography scan and/or “standard” magnetic resonance imaging). The aim of this study was to identify which thalamic structures are involved in tremor associated with a single focal thalamic lesion. We selected two patients who presented with unilateral postural and kinetic tremor of the upper limb related to a localized thalamic infarction. Three‐dimensional T1‐weighted magnetic resonance imaging sequence (MP‐RAGE sequence) was used to determine the precise topography of the lesions by stereotactic analysis using the atlas of Hassler. The lesions were located within the pulvinar, the sensory nuclei, the mediodorsal nucleus, and the ventral lateral posterior nucleus (according to the classification of Hirai and Jones), the latter including the ventral intermediate nucleus (Vim according to the classification of Hassler). However, the Vim was spared. The subthalamic area, which can induce tremor, was not involved. After having compared the topography of the lesions with the clinical findings, we suggest that thalamic tremors may result from the interruption of the cerebellar outflow tract to the Vim within the thalamus.</div></front></TEI><affiliations><list><country><li>France</li></country><region><li>Nord-Pas-de-Calais</li></region><settlement><li>Lille</li></settlement><orgName><li>Université Lille 2</li><li>Université Lille Nord de France</li></orgName></list><tree><country name="France"><noRegion><name sortKey="Krystkowiak, Pierre" sort="Krystkowiak, Pierre" uniqKey="Krystkowiak P" first="Pierre" last="Krystkowiak">Pierre Krystkowiak</name></noRegion><name sortKey="Cassim, Francois" sort="Cassim, Francois" uniqKey="Cassim F" first="François" last="Cassim">François Cassim</name><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destée">Alain Destée</name><name sortKey="Guieu, Jean Aniel" sort="Guieu, Jean Aniel" uniqKey="Guieu J" first="Jean-Daniel" last="Guieu">Jean-Daniel Guieu</name><name sortKey="Leys, Didier" sort="Leys, Didier" uniqKey="Leys D" first="Didier" last="Leys">Didier Leys</name><name sortKey="Martinat, Pascal" sort="Martinat, Pascal" uniqKey="Martinat P" first="Pascal" last="Martinat">Pascal Martinat</name><name sortKey="Pruvo, Jean Ierre" sort="Pruvo, Jean Ierre" uniqKey="Pruvo J" first="Jean-Pierre" last="Pruvo">Jean-Pierre Pruvo</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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