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Midbrain tremor and hypertrophic olivary degeneration after pontine hemorrhage

Identifieur interne : 005307 ( Main/Exploration ); précédent : 005306; suivant : 005308

Midbrain 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.

RBID : ISTEX:0F9C3245395222EFDE594B546C59721BCFB0B8F6

Descripteurs français

Pascal (Inist)
- Complication, Dégénérescence, Etude cas, Homme, Hypertrophie, Hémorragie cérébrale, Imagerie RMN, Membre supérieur, Mâle, Mésencéphale, Olive bulbaire, Protubérance annulaire, Tremblement repos.
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:

https://api.istex.fr/document/0F9C3245395222EFDE594B546C59721BCFB0B8F6/fulltext/pdf

DOI: 10.1002/mds.870120327

Affiliations:

Norvège

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<term>Case study</term>
<term>Cerebral Hemorrhage (complications)</term>
<term>Cerebral Hemorrhage (diagnosis)</term>
<term>Cerebral hemorrhage</term>
<term>Clonazepam (therapeutic use)</term>
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<term>Hypertrophy (complications)</term>
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<term>Middle Aged</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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Movement Disorders (revue)

Midbrain tremor and hypertrophic olivary degeneration after pontine hemorrhage

Midbrain tremor and hypertrophic olivary degeneration after pontine hemorrhage

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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