MR imaging findings of tremors associated with lesions in cerebellar outflow tracts: Report of two cases
Identifieur interne : 005D73 ( Main/Exploration ); précédent : 005D72; suivant : 005D74MR imaging findings of tremors associated with lesions in cerebellar outflow tracts: Report of two cases
Auteurs : Nakamura ; Keiko Kamakura ; Yutaka Tadano ; Yoshito Hosoda ; Naokazu Nagata ; Kazuhiro Tsuchiya ; Makoto Iwata [Japon] ; Hiroshi Shibasaki [Japon]Source :
- Movement Disorders [ 0885-3185 ] ; 1993.
English descriptors
- KwdEn :
- Adult, Brain Stem (physiopathology), Cerebellar Diseases (diagnosis), Cerebellar Diseases (physiopathology), Cerebellar outflow tracts, Cerebellum (physiopathology), Cerebral Hemorrhage (diagnosis), Cerebral Hemorrhage (physiopathology), Electromyography, Female, Gait (physiology), Humans, Magnetic Resonance Imaging, Magnetic resonance imaging, Male, Middle Aged, Multiple Sclerosis (diagnosis), Multiple Sclerosis (physiopathology), Muscles (innervation), Neural Pathways (physiopathology), Neurologic Examination, Nigrostriatal pathway, Severe postural tremor, Static (resting) cerebellar tremor, Tremor (diagnosis), Tremor (physiopathology).
- MESH :
- diagnosis : Cerebellar Diseases, Cerebral Hemorrhage, Multiple Sclerosis, Tremor.
- innervation : Muscles.
- physiology : Gait.
- physiopathology : Brain Stem, Cerebellar Diseases, Cerebellum, Cerebral Hemorrhage, Multiple Sclerosis, Neural Pathways, Tremor.
- Adult, Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Middle Aged, Neurologic Examination.
Abstract
Two cases with severe tremors were studied by means of electromyograms using surface electrodes and also by magnetic resonance (MR) imaging. The first case was associated with multiple sclerosis and demonstrated a severe postural cerebellar tremor and an alternate activation of antagonist muscles in the right arm. The second case, with hemorrhage in the brainstem, demonstrated a severe tremor at rest and mixed synchronous and alternating activation of antagonist muscles in the left forearm. MR imaging studies localized lesions possibly responsible for these tremors. In the first case a lesion was located in the superior cerebellar peduncle just under the decussation, and in the second case a lesion was found between the red nucleus and the thalamus, with possible involvement of both the cerebellothalmic and nigrostriatal pathways. The first case accords with the theory that a lesion located in the dentate nucleus and its projection can cause severe postural cerebellar tremor. The lesion demonstrated in the second case may be responsible for “cerebellar tremor at rest” or “static (resting) cerebellar tremor.”
Url:
DOI: 10.1002/mds.870080218
Affiliations:
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Le document en format XML
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<author><name sortKey="Tadano, Yutaka" sort="Tadano, Yutaka" uniqKey="Tadano Y" first="Yutaka" last="Tadano">Yutaka Tadano</name>
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<author><name sortKey="Hosoda, Yoshito" sort="Hosoda, Yoshito" uniqKey="Hosoda Y" first="Yoshito" last="Hosoda">Yoshito Hosoda</name>
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<author><name sortKey="Tsuchiya, Kazuhiro" sort="Tsuchiya, Kazuhiro" uniqKey="Tsuchiya K" first="Kazuhiro" last="Tsuchiya">Kazuhiro Tsuchiya</name>
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<term>Cerebellar Diseases (physiopathology)</term>
<term>Cerebellar outflow tracts</term>
<term>Cerebellum (physiopathology)</term>
<term>Cerebral Hemorrhage (diagnosis)</term>
<term>Cerebral Hemorrhage (physiopathology)</term>
<term>Electromyography</term>
<term>Female</term>
<term>Gait (physiology)</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Magnetic resonance imaging</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Multiple Sclerosis (diagnosis)</term>
<term>Multiple Sclerosis (physiopathology)</term>
<term>Muscles (innervation)</term>
<term>Neural Pathways (physiopathology)</term>
<term>Neurologic Examination</term>
<term>Nigrostriatal pathway</term>
<term>Severe postural tremor</term>
<term>Static (resting) cerebellar tremor</term>
<term>Tremor (diagnosis)</term>
<term>Tremor (physiopathology)</term>
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<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cerebellar Diseases</term>
<term>Cerebral Hemorrhage</term>
<term>Multiple Sclerosis</term>
<term>Tremor</term>
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<term>Cerebellar Diseases</term>
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<term>Cerebral Hemorrhage</term>
<term>Multiple Sclerosis</term>
<term>Neural Pathways</term>
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<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
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<front><div type="abstract" xml:lang="en">Two cases with severe tremors were studied by means of electromyograms using surface electrodes and also by magnetic resonance (MR) imaging. The first case was associated with multiple sclerosis and demonstrated a severe postural cerebellar tremor and an alternate activation of antagonist muscles in the right arm. The second case, with hemorrhage in the brainstem, demonstrated a severe tremor at rest and mixed synchronous and alternating activation of antagonist muscles in the left forearm. MR imaging studies localized lesions possibly responsible for these tremors. In the first case a lesion was located in the superior cerebellar peduncle just under the decussation, and in the second case a lesion was found between the red nucleus and the thalamus, with possible involvement of both the cerebellothalmic and nigrostriatal pathways. The first case accords with the theory that a lesion located in the dentate nucleus and its projection can cause severe postural cerebellar tremor. The lesion demonstrated in the second case may be responsible for “cerebellar tremor at rest” or “static (resting) cerebellar tremor.”</div>
</front>
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<li>Tokyo</li>
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<tree><noCountry><name sortKey="Hosoda, Yoshito" sort="Hosoda, Yoshito" uniqKey="Hosoda Y" first="Yoshito" last="Hosoda">Yoshito Hosoda</name>
<name sortKey="Kamakura, Keiko" sort="Kamakura, Keiko" uniqKey="Kamakura K" first="Keiko" last="Kamakura">Keiko Kamakura</name>
<name sortKey="Nagata, Naokazu" sort="Nagata, Naokazu" uniqKey="Nagata N" first="Naokazu" last="Nagata">Naokazu Nagata</name>
<name sortKey="Nakamura" sort="Nakamura" uniqKey="Nakamura" last="Nakamura">Nakamura</name>
<name sortKey="Tadano, Yutaka" sort="Tadano, Yutaka" uniqKey="Tadano Y" first="Yutaka" last="Tadano">Yutaka Tadano</name>
<name sortKey="Tsuchiya, Kazuhiro" sort="Tsuchiya, Kazuhiro" uniqKey="Tsuchiya K" first="Kazuhiro" last="Tsuchiya">Kazuhiro Tsuchiya</name>
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<country name="Japon"><noRegion><name sortKey="Iwata, Makoto" sort="Iwata, Makoto" uniqKey="Iwata M" first="Makoto" last="Iwata">Makoto Iwata</name>
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<name sortKey="Shibasaki, Hiroshi" sort="Shibasaki, Hiroshi" uniqKey="Shibasaki H" first="Hiroshi" last="Shibasaki">Hiroshi Shibasaki</name>
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