Movement Disorders (revue)

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Positive family history of essential tremor influences the motor phenotype of Parkinson's disease

Identifieur interne : 000A85 ( Istex/Corpus ); précédent : 000A84; suivant : 000A86

Positive family history of essential tremor influences the motor phenotype of Parkinson's disease

Auteurs : Peter Hedera ; John Y. Fang ; Fenna Phibbs ; Michael K. Cooper ; P. David Charles ; Thomas L. Davis

Source :

RBID : ISTEX:EF6CCAF1C41641351C7EB3AB11098051998933C0

English descriptors

Abstract

Previous reports have suggested that essential tremor (ET) represents a risk factor for the development of Parkinson's disease (PD). Patients with long‐standing ET who develop PD tend to have a tremor‐dominant subtype. To further clarify this association, we examined patients from kindreds with autosomal dominant ET who had signs of isolated PD but did not meet criteria for overlapping ET. We identified 22 patients with PD meeting these diagnostic criteria, and 90% (20 of 22) had tremor‐predominant subtype of PD. Unilateral rest tremor was the presenting symptom in 15 of 22 patients, bradykinesia or rigidity in 5 of 22, and gait problems in 2 of 22. Postural tremor was relatively mild, and the severity of kinetic tremor tightly correlated with rest tremor (r = 0.83, P < 0.001). Tremor‐dominant subtype of PD in patients with a positive family history of ET suggests that these patients have inherited a genetic susceptibility factor for tremor, which affects the motor phenotype of PD. © 2009 Movement Disorder Society

Url:
DOI: 10.1002/mds.22772

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ISTEX:EF6CCAF1C41641351C7EB3AB11098051998933C0

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<keyword xml:id="kwd1">Parkinson's disease</keyword>
<keyword xml:id="kwd2">essential tremor</keyword>
<keyword xml:id="kwd3">genetics</keyword>
<keyword xml:id="kwd4">autosomal dominant inheritance</keyword>
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<p>Previous reports have suggested that essential tremor (ET) represents a risk factor for the development of Parkinson's disease (PD). Patients with long‐standing ET who develop PD tend to have a tremor‐dominant subtype. To further clarify this association, we examined patients from kindreds with autosomal dominant ET who had signs of isolated PD but did not meet criteria for overlapping ET. We identified 22 patients with PD meeting these diagnostic criteria, and 90% (20 of 22) had tremor‐predominant subtype of PD. Unilateral rest tremor was the presenting symptom in 15 of 22 patients, bradykinesia or rigidity in 5 of 22, and gait problems in 2 of 22. Postural tremor was relatively mild, and the severity of kinetic tremor tightly correlated with rest tremor (
<i>r</i>
= 0.83,
<i>P</i>
< 0.001). Tremor‐dominant subtype of PD in patients with a positive family history of ET suggests that these patients have inherited a genetic susceptibility factor for tremor, which affects the motor phenotype of PD. © 2009 Movement Disorder Society</p>
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<p>Potential conflict of interest: None reported.</p>
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<namePart type="given">Peter</namePart>
<namePart type="family">Hedera</namePart>
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<affiliation>Department of Neurology, Vanderbilt University, Nashville, Tennessee, USA</affiliation>
<affiliation>Center for Human Genetics Research, Vanderbilt University, Nashville, Tennessee, USA</affiliation>
<description>Correspondence: Department of Neurology, Vanderbilt University, 465 21st Avenue South, 6140 MRB III, Nashville, Tennesee 37232‐8552, USA</description>
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<namePart type="given">John Y.</namePart>
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<affiliation>Department of Neurology, Vanderbilt University, Nashville, Tennessee, USA</affiliation>
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<affiliation>Department of Neurology, Vanderbilt University, Nashville, Tennessee, USA</affiliation>
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<affiliation>Department of Neurology, Vanderbilt University, Nashville, Tennessee, USA</affiliation>
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<name type="personal">
<namePart type="given">Thomas L.</namePart>
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<abstract lang="fr">Previous reports have suggested that essential tremor (ET) represents a risk factor for the development of Parkinson's disease (PD). Patients with long‐standing ET who develop PD tend to have a tremor‐dominant subtype. To further clarify this association, we examined patients from kindreds with autosomal dominant ET who had signs of isolated PD but did not meet criteria for overlapping ET. We identified 22 patients with PD meeting these diagnostic criteria, and 90% (20 of 22) had tremor‐predominant subtype of PD. Unilateral rest tremor was the presenting symptom in 15 of 22 patients, bradykinesia or rigidity in 5 of 22, and gait problems in 2 of 22. Postural tremor was relatively mild, and the severity of kinetic tremor tightly correlated with rest tremor (r = 0.83, P < 0.001). Tremor‐dominant subtype of PD in patients with a positive family history of ET suggests that these patients have inherited a genetic susceptibility factor for tremor, which affects the motor phenotype of PD. © 2009 Movement Disorder Society</abstract>
<note type="content">*Potential conflict of interest: None reported.</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>Parkinson's disease</topic>
<topic>essential tremor</topic>
<topic>genetics</topic>
<topic>autosomal dominant inheritance</topic>
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<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<title>Mov. Disord.</title>
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<subject>
<genre>article category</genre>
<topic>Brief Report</topic>
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<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2009</date>
<detail type="volume">
<caption>vol.</caption>
<number>24</number>
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<detail type="issue">
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<number>15</number>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2009 Movement Disorder Society</accessCondition>
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