Clinical analysis in familial cortical myoclonic tremor allows differential diagnosis with essential tremor
Identifieur interne : 003532 ( Main/Exploration ); précédent : 003531; suivant : 003533Clinical analysis in familial cortical myoclonic tremor allows differential diagnosis with essential tremor
Auteurs : Frédéric Bourdain [France] ; Emmanuelle Apartis [France] ; Jean-Marc Trocello [France] ; Jean-Sébastien Vidal [France] ; Pascal Masnou [France] ; Laurent Vercueil [France] ; Marie Vidailhet [France]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-05.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Adult, Age of Onset, Cerebral Cortex, Diagnosis, Differential, Differential diagnostic, Electroencephalography (methods), Electromyography (methods), Epilepsy (etiology), Epilepsy (physiopathology), Essential Tremor (diagnosis), Essential Tremor (physiopathology), Evoked Potentials, Somatosensory (physiology), Family Health, Female, Humans, Male, Middle Aged, Myoclonus, Myoclonus (diagnosis), Myoclonus (genetics), Myoclonus (physiopathology), Nervous system diseases, Reaction Time (physiology), Reflex, Reflex (physiology), Tremor, cortical reflex myoclonus, cortical tremor, essential tremor, familial cortical myoclonic tremor.
- MESH :
- diagnosis : Essential Tremor, Myoclonus.
- etiology : Epilepsy.
- genetics : Myoclonus.
- methods : Electroencephalography, Electromyography.
- physiology : Evoked Potentials, Somatosensory, Reaction Time, Reflex.
- physiopathology : Epilepsy, Essential Tremor, Myoclonus.
- Adult, Age of Onset, Cerebral Cortex, Diagnosis, Differential, Family Health, Female, Humans, Male, Middle Aged.
Abstract
Familial cortical myoclonic tremor (FCMT) is a rare disorder often leading to a wrong clinical diagnosis of essential tremor. Electrophysiological data are usually considered to allow a correct diagnosis. We describe a FCMT French family with previously unreported clinical features such as sensitivity to glucose deprivation, vibration, repetitive visual patterns, and intense visual or auditory stimulation and contrasts. Electrophysiological studies of the propositus confirm the cortical reflex myoclonus elicited by photic stimulation and the absence of epileptic electroencephalographic discharges. We emphasize that a precise clinical analysis can lead to a correct diagnosis before electrophysiological confirmation. This is also the first‐ever report of efficacy of levetiracetam in FCMT. © 2005 Movement Disorder Society
Url:
- https://api.istex.fr/document/826A13D0AA846A3E05036DF82D0DA6A455D8DC88/fulltext/pdf
- http://www.hal.inserm.fr/inserm-00388235
DOI: 10.1002/mds.20725
Affiliations:
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Le document en format XML
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<term>Epilepsy (physiopathology)</term>
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<front><div type="abstract" xml:lang="en">Familial cortical myoclonic tremor (FCMT) is a rare disorder often leading to a wrong clinical diagnosis of essential tremor. Electrophysiological data are usually considered to allow a correct diagnosis. We describe a FCMT French family with previously unreported clinical features such as sensitivity to glucose deprivation, vibration, repetitive visual patterns, and intense visual or auditory stimulation and contrasts. Electrophysiological studies of the propositus confirm the cortical reflex myoclonus elicited by photic stimulation and the absence of epileptic electroencephalographic discharges. We emphasize that a precise clinical analysis can lead to a correct diagnosis before electrophysiological confirmation. This is also the first‐ever report of efficacy of levetiracetam in FCMT. © 2005 Movement Disorder Society</div>
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