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Dopaminergic deficit is not the rule in orthostatic tremor

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Dopaminergic deficit is not the rule in orthostatic tremor

Auteurs : Jean-Marc Trocello [France] ; Paolo Zanotti-Fregonara [France] ; Emmanuel Roze [France] ; Emmanuelle Apartis [France] ; André-Pierre Legrand [France] ; Marie-Odile Habert [France] ; Jean-Yves Devaux [France] ; Marie Vidailhet [France]

Source :

Movement Disorders [ 0885-3185 ] ; 2008-09-15.

RBID : ISTEX:03E3817B00977D09B9076DF12E98B3BA13AB60F4

English descriptors

KwdEn :
- Parkinson's disease, SPECT, neurophysiology, orthostatic tremor, pathophysiology, prognosis.

Abstract

Involvement of the dopaminergic system in orthostatic tremor is controversial. The aim of this study was to detect possible dopaminergic denervation in primary orthostatic tremor (OT). Twelve consecutive patients with a firm diagnosis of primary orthostatic tremor were compared with age‐matched normal controls. All the patients had a neurological examination, surface polymyography, and quantification of striatal dopamine transporters with 123I‐FP‐CIT SPECT imaging. There was no significant difference in 123I‐FP‐CIT SPECT findings between controls and patients with OT. Longstanding primary orthostatic tremor is not necessarily associated with 123I‐FP‐CIT SPECT abnormalities, as 8 of our patients had more than a 10‐year history of OT. Primary orthostatic tremor without dopaminergic denervation remains a valid entity, although representing only a subtype of high‐frequency OT. A new role may emerge for 123I‐FP‐CIT SPECT in distinguishing between patients whose symptoms will be restricted to OT throughout the disease course and patients at an increased risk of developing PD. © 2008 Movement Disorder Society

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https://api.istex.fr/document/03E3817B00977D09B9076DF12E98B3BA13AB60F4/fulltext/pdf

DOI: 10.1002/mds.22224

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Le document en format XML

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<author><name sortKey="Trocello, Jean Arc" sort="Trocello, Jean Arc" uniqKey="Trocello J" first="Jean-Marc" last="Trocello">Jean-Marc Trocello</name>
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<front><div type="abstract" xml:lang="en">Involvement of the dopaminergic system in orthostatic tremor is controversial. The aim of this study was to detect possible dopaminergic denervation in primary orthostatic tremor (OT). Twelve consecutive patients with a firm diagnosis of primary orthostatic tremor were compared with age‐matched normal controls. All the patients had a neurological examination, surface polymyography, and quantification of striatal dopamine transporters with 123I‐FP‐CIT SPECT imaging. There was no significant difference in 123I‐FP‐CIT SPECT findings between controls and patients with OT. Longstanding primary orthostatic tremor is not necessarily associated with 123I‐FP‐CIT SPECT abnormalities, as 8 of our patients had more than a 10‐year history of OT. Primary orthostatic tremor without dopaminergic denervation remains a valid entity, although representing only a subtype of high‐frequency OT. A new role may emerge for 123I‐FP‐CIT SPECT in distinguishing between patients whose symptoms will be restricted to OT throughout the disease course and patients at an increased risk of developing PD. © 2008 Movement Disorder Society</div>
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Movement Disorders (revue)

Dopaminergic deficit is not the rule in orthostatic tremor

Dopaminergic deficit is not the rule in orthostatic tremor

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