Midbrain tremor and hypertrophic olivary degeneration after pontine hemorrhage
Identifieur interne : 005307 ( Main/Exploration ); précédent : 005306; suivant : 005308Midbrain tremor and hypertrophic olivary degeneration after pontine hemorrhage
Auteurs : Gordon M. G. Shepherd [Norvège] ; Tauböll [Norvège] ; Sören Jacob Bakke [Norvège] ; Rolf Nyberg-Hansen [Norvège]Source :
- Movement Disorders [ 0885-3185 ] ; 1997-05.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adrenergic beta-Antagonists (therapeutic use), Anticonvulsants (therapeutic use), Antiparkinson Agents (therapeutic use), Case study, Cerebral Hemorrhage (complications), Cerebral Hemorrhage (diagnosis), Cerebral hemorrhage, Clonazepam (therapeutic use), Complication, Degeneration, Dentatoolivary tract, Dentatorubroolivary tract, Electric Stimulation, Electrodes, Implanted, Human, Humans, Hypertrophy, Hypertrophy (complications), Hypertrophy (diagnosis), Levodopa (therapeutic use), Magnetic Resonance Imaging, Male, Mesencephalon, Midbrain, Middle Aged, Nerve Degeneration, Neural Pathways, Nuclear magnetic resonance imaging, Oivary hypertrophy, Oliva, Olivary Nucleus, Pons, Pons varolii, Pontine hemorrhage, Propranolol (therapeutic use), Resting tremor, Rubral tremor, Thalamic stimulation, Thalamus, Tremor (drug therapy), Tremor (etiology), Upper limb.
- MESH :
- chemical , therapeutic use : Adrenergic beta-Antagonists, Anticonvulsants, Antiparkinson Agents, Clonazepam, Levodopa, Propranolol.
- complications : Cerebral Hemorrhage, Hypertrophy.
- diagnosis : Cerebral Hemorrhage, Hypertrophy.
- drug therapy : Tremor.
- etiology : Tremor.
- Electric Stimulation, Electrodes, Implanted, Humans, Magnetic Resonance Imaging, Male, Mesencephalon, Middle Aged, Nerve Degeneration, Neural Pathways, Olivary Nucleus, Pons, Thalamus.
Abstract
A severe rest tremor arose in a patient's right arm 9 months after a pontine tegmental hemorrhage. Magnetic resonance studies at 4 and 10 months showed residual hemosiderin in the pons and increasing hypertrophic olivary degeneration (HOD) affecting primarily the left olive. The tremor was refractory to pharmacotherapy (clonazepam, propranolol, and levodopa), but was reduced after implantation of a thalamic stimulator device. Although pontine hemorrhage is among several common causes of HOD, it has not previously been appreciated as a cause of midbrain (“rubral”) tremor. A disynaptic dentatorubroolivary tract associated with tremor and a monosynaptic dentatoolivary tract associated with HOD may both be components of the rubro‐olivocerebellorubral loop implicated in midbrain tremor. Their proximity makes the combination of tremor and HOD after pontine tegmental damage plausible and even likely.
Url:
DOI: 10.1002/mds.870120327
Affiliations:
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Le document en format XML
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<term>Anticonvulsants (therapeutic use)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Case study</term>
<term>Cerebral Hemorrhage (complications)</term>
<term>Cerebral Hemorrhage (diagnosis)</term>
<term>Cerebral hemorrhage</term>
<term>Clonazepam (therapeutic use)</term>
<term>Complication</term>
<term>Degeneration</term>
<term>Dentatoolivary tract</term>
<term>Dentatorubroolivary tract</term>
<term>Electric Stimulation</term>
<term>Electrodes, Implanted</term>
<term>Human</term>
<term>Humans</term>
<term>Hypertrophy</term>
<term>Hypertrophy (complications)</term>
<term>Hypertrophy (diagnosis)</term>
<term>Levodopa (therapeutic use)</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Mesencephalon</term>
<term>Midbrain</term>
<term>Middle Aged</term>
<term>Nerve Degeneration</term>
<term>Neural Pathways</term>
<term>Nuclear magnetic resonance imaging</term>
<term>Oivary hypertrophy</term>
<term>Oliva</term>
<term>Olivary Nucleus</term>
<term>Pons</term>
<term>Pons varolii</term>
<term>Pontine hemorrhage</term>
<term>Propranolol (therapeutic use)</term>
<term>Resting tremor</term>
<term>Rubral tremor</term>
<term>Thalamic stimulation</term>
<term>Thalamus</term>
<term>Tremor (drug therapy)</term>
<term>Tremor (etiology)</term>
<term>Upper limb</term>
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<term>Anticonvulsants</term>
<term>Antiparkinson Agents</term>
<term>Clonazepam</term>
<term>Levodopa</term>
<term>Propranolol</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cerebral Hemorrhage</term>
<term>Hypertrophy</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cerebral Hemorrhage</term>
<term>Hypertrophy</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Tremor</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tremor</term>
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<keywords scheme="MESH" xml:lang="en"><term>Electric Stimulation</term>
<term>Electrodes, Implanted</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Mesencephalon</term>
<term>Middle Aged</term>
<term>Nerve Degeneration</term>
<term>Neural Pathways</term>
<term>Olivary Nucleus</term>
<term>Pons</term>
<term>Thalamus</term>
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<term>Dégénérescence</term>
<term>Etude cas</term>
<term>Homme</term>
<term>Hypertrophie</term>
<term>Hémorragie cérébrale</term>
<term>Imagerie RMN</term>
<term>Membre supérieur</term>
<term>Mâle</term>
<term>Mésencéphale</term>
<term>Olive bulbaire</term>
<term>Protubérance annulaire</term>
<term>Tremblement repos</term>
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<front><div type="abstract" xml:lang="en">A severe rest tremor arose in a patient's right arm 9 months after a pontine tegmental hemorrhage. Magnetic resonance studies at 4 and 10 months showed residual hemosiderin in the pons and increasing hypertrophic olivary degeneration (HOD) affecting primarily the left olive. The tremor was refractory to pharmacotherapy (clonazepam, propranolol, and levodopa), but was reduced after implantation of a thalamic stimulator device. Although pontine hemorrhage is among several common causes of HOD, it has not previously been appreciated as a cause of midbrain (“rubral”) tremor. A disynaptic dentatorubroolivary tract associated with tremor and a monosynaptic dentatoolivary tract associated with HOD may both be components of the rubro‐olivocerebellorubral loop implicated in midbrain tremor. Their proximity makes the combination of tremor and HOD after pontine tegmental damage plausible and even likely.</div>
</front>
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<name sortKey="Bakke, Soren Jacob" sort="Bakke, Soren Jacob" uniqKey="Bakke S" first="Sören Jacob" last="Bakke">Sören Jacob Bakke</name>
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