Movement Disorders (revue)

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Essential tremor centralized brain repository: Diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases

Identifieur interne : 001709 ( Istex/Corpus ); précédent : 001708; suivant : 001710

Essential tremor centralized brain repository: Diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases

Auteurs : Elan D. Louis ; Sarah Borden ; Carol B. Moskowitz

Source :

RBID : ISTEX:BF09DE4B0E2C9C625A2661E13C07FDBB52818629

English descriptors

Abstract

We studied essential tremor (ET) cases enrolled in the Essential Tremor Centralized Brain Repository to (1) assess the validity of their diagnoses and (2) characterize the clinical features in a group of highly selected cases who might reflect a far end of the disease spectrum. Our over‐arching goal was to provide a perspective of ET that complements that derived from population‐based and clinic‐based studies. Based on a history and videotaped examination, 94 of 100 ET cases had their diagnoses confirmed; most of the remainder had Parkinson's disease. When compared with ET cases ascertained through populations and clinics, a large proportion had been prescribed medication for tremor (87.2%), had a family history of tremor (88.3%), had rest tremor (33.0%), or had neck tremor (60.6%). One patient had facial tremor, which has not been reported previously. As has been reported once before, a large proportion wore hearing aids (26.9% of the 67 participants age ≥ 70). In summary, diagnostic validity was high. In terms of their clinical characteristics, the high proportion of cases with severe tremor and varied disease manifestations (neck tremor, rest tremor) make these cases a valuable resource in pathological studies; the high proportion with familial tremor would provide an enriched sample for genetic studies. © 2005 Movement Disorder Society

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DOI: 10.1002/mds.20583

Links to Exploration step

ISTEX:BF09DE4B0E2C9C625A2661E13C07FDBB52818629

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<p>We studied essential tremor (ET) cases enrolled in the Essential Tremor Centralized Brain Repository to (1) assess the validity of their diagnoses and (2) characterize the clinical features in a group of highly selected cases who might reflect a far end of the disease spectrum. Our over‐arching goal was to provide a perspective of ET that complements that derived from population‐based and clinic‐based studies. Based on a history and videotaped examination, 94 of 100 ET cases had their diagnoses confirmed; most of the remainder had Parkinson's disease. When compared with ET cases ascertained through populations and clinics, a large proportion had been prescribed medication for tremor (87.2%), had a family history of tremor (88.3%), had rest tremor (33.0%), or had neck tremor (60.6%). One patient had facial tremor, which has not been reported previously. As has been reported once before, a large proportion wore hearing aids (26.9% of the 67 participants age ≥ 70). In summary, diagnostic validity was high. In terms of their clinical characteristics, the high proportion of cases with severe tremor and varied disease manifestations (neck tremor, rest tremor) make these cases a valuable resource in pathological studies; the high proportion with familial tremor would provide an enriched sample for genetic studies. © 2005 Movement Disorder Society</p>
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<title>Essential tremor centralized brain repository: Diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases</title>
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<title>ET Centralized Brain Repository</title>
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<title>Essential tremor centralized brain repository: Diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases</title>
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<namePart type="given">Elan D.</namePart>
<namePart type="family">Louis</namePart>
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<affiliation>Gertude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York USA</affiliation>
<affiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York USA</affiliation>
<affiliation>Taub Institute for Alzheimer's Disease and the Aging Brain, College of Physicians and Surgeons, Columbia University, New York, New York USA</affiliation>
<description>Correspondence: Unit 198, Neurological Institute, 710 West 168th Street, New York, NY 10032</description>
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<affiliation>Gertude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York USA</affiliation>
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<namePart type="given">Carol B.</namePart>
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<affiliation>Department of Neurology, College of Physicians and Surgeons, Columbia University, New York, New York USA</affiliation>
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<abstract lang="fr">We studied essential tremor (ET) cases enrolled in the Essential Tremor Centralized Brain Repository to (1) assess the validity of their diagnoses and (2) characterize the clinical features in a group of highly selected cases who might reflect a far end of the disease spectrum. Our over‐arching goal was to provide a perspective of ET that complements that derived from population‐based and clinic‐based studies. Based on a history and videotaped examination, 94 of 100 ET cases had their diagnoses confirmed; most of the remainder had Parkinson's disease. When compared with ET cases ascertained through populations and clinics, a large proportion had been prescribed medication for tremor (87.2%), had a family history of tremor (88.3%), had rest tremor (33.0%), or had neck tremor (60.6%). One patient had facial tremor, which has not been reported previously. As has been reported once before, a large proportion wore hearing aids (26.9% of the 67 participants age ≥ 70). In summary, diagnostic validity was high. In terms of their clinical characteristics, the high proportion of cases with severe tremor and varied disease manifestations (neck tremor, rest tremor) make these cases a valuable resource in pathological studies; the high proportion with familial tremor would provide an enriched sample for genetic studies. © 2005 Movement Disorder Society</abstract>
<note type="funding">National Institutes of Health, Bethesda, Maryland - No. R01 NS042859; </note>
<note type="funding">International Essential Tremor Foundation, Lenexa, KS</note>
<subject lang="en">
<genre>Keywords</genre>
<topic>essential tremor</topic>
<topic>epidemiology</topic>
<topic>clinical characteristics</topic>
<topic>brain bank</topic>
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<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
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<note type="content"> This article includes Supplementary Video, available online at http://www.interscience.wiley.com/jpages/0885‐3185/suppmat .Supporting Info Item: Facial tremor, as seen in two videotapings, involving the forehead and upper lip in a woman with ET. This video presentation has been abbreviated. The full version will appear on theMovementDisorders DVD Supplement, which is issued bi‐annually. - </note>
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<topic>Brief Report with Video</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>
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<date>2005</date>
<detail type="volume">
<caption>vol.</caption>
<number>20</number>
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<caption>no.</caption>
<number>10</number>
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<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition>
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