Movement Disorders (revue)

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Clinical analysis in familial cortical myoclonic tremor allows differential diagnosis with essential tremor

Identifieur interne : 004846 ( Main/Merge ); précédent : 004845; suivant : 004847

Clinical 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 :

RBID : ISTEX:826A13D0AA846A3E05036DF82D0DA6A455D8DC88

English descriptors

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

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DOI: 10.1002/mds.20725

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ISTEX:826A13D0AA846A3E05036DF82D0DA6A455D8DC88

Le document en format XML

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<idno type="DOI">10.1002/mds.20725</idno>
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<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.</div>
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<title level="j" type="sub">Official Journal of the Movement Disorder Society</title>
<title level="j" type="abbrev">Mov. Disord.</title>
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<date type="published" when="2006-05">2006-05</date>
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<term>cortical reflex myoclonus</term>
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<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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<name sortKey="Apartis, Emmanuelle" sort="Apartis, Emmanuelle" uniqKey="Apartis E" first="Emmanuelle" last="Apartis">Emmanuelle Apartis</name>
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<name sortKey="Vercueil, Laurent" sort="Vercueil, Laurent" uniqKey="Vercueil L" first="Laurent" last="Vercueil">Laurent Vercueil</name>
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<name sortKey="Trocello, Jean Marc" sort="Trocello, Jean Marc" uniqKey="Trocello J" first="Jean-Marc" last="Trocello">Jean-Marc Trocello</name>
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<term>Electroencephalography (methods)</term>
<term>Electromyography (methods)</term>
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<term>Epilepsy (physiopathology)</term>
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<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.</div>
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