Essential tremor centralized brain repository: diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases.
Identifieur interne : 001305 ( Ncbi/Checkpoint ); précédent : 001304; suivant : 001306Essential tremor centralized brain repository: diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases.
Auteurs : Elan D. Louis [États-Unis] ; Sarah Borden ; Carol B. MoskowitzSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2005.
English descriptors
- KwdEn :
- Age of Onset, Aged, Brain (physiopathology), Chin (physiopathology), Diagnosis, Differential, Dystonia (diagnosis), Dystonia (epidemiology), Dystonia (physiopathology), Essential Tremor (diagnosis), Essential Tremor (epidemiology), Essential Tremor (physiopathology), Face (physiopathology), Female, Hearing Aids, Hearing Disorders (epidemiology), Hearing Disorders (therapy), Humans, Male, Neck (physiopathology), Parkinson Disease (diagnosis), Parkinson Disease (epidemiology), Parkinson Disease (physiopathology), Severity of Illness Index, Tongue (physiopathology), Voice Disorders (epidemiology), Voice Disorders (physiopathology).
- MESH :
- diagnosis : Dystonia, Essential Tremor, Parkinson Disease.
- epidemiology : Dystonia, Essential Tremor, Hearing Disorders, Parkinson Disease, Voice Disorders.
- physiopathology : Brain, Chin, Dystonia, Essential Tremor, Face, Neck, Parkinson Disease, Tongue, Voice Disorders.
- therapy : Hearing Disorders.
- Age of Onset, Aged, Diagnosis, Differential, Female, Hearing Aids, Humans, Male, Severity of Illness Index.
Abstract
We studied essential tremor (ET) cases enrolled in the Essential Tremor Centralized Brain Repository to (1) assess the validity of their diagnoses and (2) characterize the clinical features in a group of highly selected cases who might reflect a far end of the disease spectrum. Our over-arching goal was to provide a perspective of ET that complements that derived from population-based and clinic-based studies. Based on a history and videotaped examination, 94 of 100 ET cases had their diagnoses confirmed; most of the remainder had Parkinson's disease. When compared with ET cases ascertained through populations and clinics, a large proportion had been prescribed medication for tremor (87.2%), had a family history of tremor (88.3%), had rest tremor (33.0%), or had neck tremor (60.6%). One patient had facial tremor, which has not been reported previously. As has been reported once before, a large proportion wore hearing aids (26.9% of the 67 participants age>or=70). In summary, diagnostic validity was high. In terms of their clinical characteristics, the high proportion of cases with severe tremor and varied disease manifestations (neck tremor, rest tremor) make these cases a valuable resource in pathological studies; the high proportion with familial tremor would provide an enriched sample for genetic studies.
DOI: 10.1002/mds.20583
PubMed: 16001407
Affiliations:
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pubmed:16001407Le document en format XML
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<affiliation wicri:level="4"><nlm:affiliation>Gertude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York 10032, USA. EDL2@columbia.edu</nlm:affiliation>
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<wicri:regionArea>Gertude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York 10032</wicri:regionArea>
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<author><name sortKey="Borden, Sarah" sort="Borden, Sarah" uniqKey="Borden S" first="Sarah" last="Borden">Sarah Borden</name>
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<author><name sortKey="Moskowitz, Carol B" sort="Moskowitz, Carol B" uniqKey="Moskowitz C" first="Carol B" last="Moskowitz">Carol B. Moskowitz</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Essential tremor centralized brain repository: diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases.</title>
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<affiliation wicri:level="4"><nlm:affiliation>Gertude H. Sergievsky Center, College of Physicians and Surgeons, Columbia University, New York, New York 10032, USA. EDL2@columbia.edu</nlm:affiliation>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<term>Chin (physiopathology)</term>
<term>Diagnosis, Differential</term>
<term>Dystonia (diagnosis)</term>
<term>Dystonia (epidemiology)</term>
<term>Dystonia (physiopathology)</term>
<term>Essential Tremor (diagnosis)</term>
<term>Essential Tremor (epidemiology)</term>
<term>Essential Tremor (physiopathology)</term>
<term>Face (physiopathology)</term>
<term>Female</term>
<term>Hearing Aids</term>
<term>Hearing Disorders (epidemiology)</term>
<term>Hearing Disorders (therapy)</term>
<term>Humans</term>
<term>Male</term>
<term>Neck (physiopathology)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Parkinson Disease (epidemiology)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Severity of Illness Index</term>
<term>Tongue (physiopathology)</term>
<term>Voice Disorders (epidemiology)</term>
<term>Voice Disorders (physiopathology)</term>
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<term>Essential Tremor</term>
<term>Parkinson Disease</term>
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<term>Hearing Disorders</term>
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<term>Voice Disorders</term>
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<term>Dystonia</term>
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<term>Face</term>
<term>Neck</term>
<term>Parkinson Disease</term>
<term>Tongue</term>
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<term>Aged</term>
<term>Diagnosis, Differential</term>
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<front><div type="abstract" xml:lang="en">We studied essential tremor (ET) cases enrolled in the Essential Tremor Centralized Brain Repository to (1) assess the validity of their diagnoses and (2) characterize the clinical features in a group of highly selected cases who might reflect a far end of the disease spectrum. Our over-arching goal was to provide a perspective of ET that complements that derived from population-based and clinic-based studies. Based on a history and videotaped examination, 94 of 100 ET cases had their diagnoses confirmed; most of the remainder had Parkinson's disease. When compared with ET cases ascertained through populations and clinics, a large proportion had been prescribed medication for tremor (87.2%), had a family history of tremor (88.3%), had rest tremor (33.0%), or had neck tremor (60.6%). One patient had facial tremor, which has not been reported previously. As has been reported once before, a large proportion wore hearing aids (26.9% of the 67 participants age>or=70). In summary, diagnostic validity was high. In terms of their clinical characteristics, the high proportion of cases with severe tremor and varied disease manifestations (neck tremor, rest tremor) make these cases a valuable resource in pathological studies; the high proportion with familial tremor would provide an enriched sample for genetic studies.</div>
</front>
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<affiliations><list><country><li>États-Unis</li>
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<tree><noCountry><name sortKey="Borden, Sarah" sort="Borden, Sarah" uniqKey="Borden S" first="Sarah" last="Borden">Sarah Borden</name>
<name sortKey="Moskowitz, Carol B" sort="Moskowitz, Carol B" uniqKey="Moskowitz C" first="Carol B" last="Moskowitz">Carol B. Moskowitz</name>
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<country name="États-Unis"><region name="État de New York"><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D" last="Louis">Elan D. Louis</name>
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