Jaw tremor: Prevalence and clinical correlates in three essential tremor case samples
Identifieur interne : 003370 ( Main/Exploration ); précédent : 003369; suivant : 003371Jaw tremor: Prevalence and clinical correlates in three essential tremor case samples
Auteurs : Elan D. Louis [États-Unis] ; Eileen Rios [États-Unis] ; Lakeisha M. Applegate [États-Unis] ; Nora C. Hernandez [États-Unis] ; Howard F. Andrews [États-Unis]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-11.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Age Factors, Aged, Aged, 80 and over, Community Health Planning, Confidence Intervals, Epidemiology, Essential Tremor (epidemiology), Essential Tremor (pathology), Essential Tremor (physiopathology), Female, Humans, Jaw, Jaw (physiopathology), Male, Middle Aged, Nervous system diseases, Neurologic Examination (methods), Odds Ratio, Prevalence, Severity of Illness Index, Tremor, correlates, epidemiology, essential tremor, jaw tremor, prevalence.
- MESH :
- epidemiology : Essential Tremor.
- methods : Neurologic Examination.
- pathology : Essential Tremor.
- physiopathology : Essential Tremor, Jaw.
- Age Factors, Aged, Aged, 80 and over, Community Health Planning, Confidence Intervals, Female, Humans, Male, Middle Aged, Odds Ratio, Prevalence, Severity of Illness Index.
Abstract
The spectrum of involuntary movements seen in essential tremor (ET) is limited. Jaw tremor is one such movement. The prevalence and clinical correlates of jaw tremor have not been studied in detail. The objective of this study was to estimate the prevalence and examine the clinical correlates of jaw tremor in ET using ET cases from three distinct settings (population, tertiary‐referral center, brain repository). All ET cases underwent a videotaped tremor examination in which tremors (including limb, head, voice, and jaw) were assessed. The prevalence [95% confidence interval (CI)] of jaw tremor was lowest in the population sample (7.5%; 3.9%–14.2%), intermediate in the tertiary‐referral center (10.1%; 6.8%–14.7%), and highest in the brain repository (18.0%; 12.3%–25.5%; P = 0.03). Jaw tremor was associated with older age (P < 0.001), more severe action tremor of the arms (P < 0.001), and presence of head and voice tremor (P < 0.001). Jaw tremor was present in 4/14 (28.6%) ET cases with consistent rest tremor vs. 15/193 (7.8%) cases without rest tremor (odds ratio = 4.8; 95% CI = 1.3–7.0; P = 0.009). The prevalence of jaw tremor was 7.5% to 18.0% and was dependent on the mode of ascertainment, being least prevalent in a population‐based sample. ET cases with jaw tremor had a more clinically severe and more topographically widespread disorder. The association in our study between jaw tremor and rest tremor, along with the published observation that jaw tremor can occur in Parkinson's disease (PD), raises the question whether jaw tremor in ET is a marker for subsequent conversion to PD. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21069
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="fr">The spectrum of involuntary movements seen in essential tremor (ET) is limited. Jaw tremor is one such movement. The prevalence and clinical correlates of jaw tremor have not been studied in detail. The objective of this study was to estimate the prevalence and examine the clinical correlates of jaw tremor in ET using ET cases from three distinct settings (population, tertiary‐referral center, brain repository). All ET cases underwent a videotaped tremor examination in which tremors (including limb, head, voice, and jaw) were assessed. The prevalence [95% confidence interval (CI)] of jaw tremor was lowest in the population sample (7.5%; 3.9%–14.2%), intermediate in the tertiary‐referral center (10.1%; 6.8%–14.7%), and highest in the brain repository (18.0%; 12.3%–25.5%; P = 0.03). Jaw tremor was associated with older age (P < 0.001), more severe action tremor of the arms (P < 0.001), and presence of head and voice tremor (P < 0.001). Jaw tremor was present in 4/14 (28.6%) ET cases with consistent rest tremor vs. 15/193 (7.8%) cases without rest tremor (odds ratio = 4.8; 95% CI = 1.3–7.0; P = 0.009). The prevalence of jaw tremor was 7.5% to 18.0% and was dependent on the mode of ascertainment, being least prevalent in a population‐based sample. ET cases with jaw tremor had a more clinically severe and more topographically widespread disorder. The association in our study between jaw tremor and rest tremor, along with the published observation that jaw tremor can occur in Parkinson's disease (PD), raises the question whether jaw tremor in ET is a marker for subsequent conversion to PD. © 2006 Movement Disorder Society</div>
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