Internal tremor in patients with Parkinson's disease.
Identifieur interne : 004B35 ( Ncbi/Checkpoint ); précédent : 004B34; suivant : 004B36Internal tremor in patients with Parkinson's disease.
Auteurs : L M Shulman [États-Unis] ; C. Singer ; J A Bean ; W J WeinerSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1996.
English descriptors
- KwdEn :
- MESH :
- diagnosis : Paresthesia, Parkinson Disease, Somatoform Disorders, Tremor.
- Aged, Female, Humans, Male, Middle Aged, Neurologic Examination.
Abstract
Although sensory symptoms were not originally described in Parkinson's disease (PD), in recent years it has been increasingly recognized that painful sensations and paresthesias occur in approximately 40% of patients. It has been our observation that PD patients often describe a sensation of internal tremor, a feeling of tremor inside the chest, abdomen, arms, or legs that cannot be seen. We investigated the prevalence and characteristics of internal tremor by administering a questionnaire to 100 consecutive patients with PD and 50 age-matched controls seen in our movement disorders center. A sensation of internal tremor was present in 44% of this sample of PD patients and in 6% of the control population (p < 0.0001). The presence of internal tremor was unrelated to Unified Parkinson's Disease Rating Scale score, Hoehn and Yahr stage, duration of disease, or the presence of observable tremor. The frequency of other sensory symptoms (aching, tingling, burning) was higher in the PD patients with internal tremor (73%) than in those without (45%; p = 0.005). Internal tremor is associated with anxiety in 64% of patients (p < 0.0001). It was described as uncomfortable and was unrelieved by antiparkinsonian medication in three quarters of patients. A sensation of internal tremor is commonly reported by PD patients and should be recognized as a useful diagnostic factor in PD.
DOI: 10.1002/mds.870110103
PubMed: 8771060
Affiliations:
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pubmed:8771060Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Internal tremor in patients with Parkinson's disease.</title><author><name sortKey="Shulman, L M" sort="Shulman, L M" uniqKey="Shulman L" first="L M" last="Shulman">L M Shulman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Miami School of Medicine, Florida 33136, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Miami School of Medicine, Florida 33136</wicri:regionArea><wicri:noRegion>Florida 33136</wicri:noRegion></affiliation></author><author><name sortKey="Singer, C" sort="Singer, C" uniqKey="Singer C" first="C" last="Singer">C. Singer</name></author><author><name sortKey="Bean, J A" sort="Bean, J A" uniqKey="Bean J" first="J A" last="Bean">J A Bean</name></author><author><name sortKey="Weiner, W J" sort="Weiner, W J" uniqKey="Weiner W" first="W J" last="Weiner">W J Weiner</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="1996">1996</date><idno type="RBID">pubmed:8771060</idno><idno type="pmid">8771060</idno><idno type="doi">10.1002/mds.870110103</idno><idno type="wicri:Area/PubMed/Corpus">004894</idno><idno type="wicri:Area/PubMed/Curation">004894</idno><idno type="wicri:Area/PubMed/Checkpoint">004807</idno><idno type="wicri:Area/Ncbi/Merge">004B35</idno><idno type="wicri:Area/Ncbi/Curation">004B35</idno><idno type="wicri:Area/Ncbi/Checkpoint">004B35</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Internal tremor in patients with Parkinson's disease.</title><author><name sortKey="Shulman, L M" sort="Shulman, L M" uniqKey="Shulman L" first="L M" last="Shulman">L M Shulman</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology, University of Miami School of Medicine, Florida 33136, USA.</nlm:affiliation><country xml:lang="fr">États-Unis</country><wicri:regionArea>Department of Neurology, University of Miami School of Medicine, Florida 33136</wicri:regionArea><wicri:noRegion>Florida 33136</wicri:noRegion></affiliation></author><author><name sortKey="Singer, C" sort="Singer, C" uniqKey="Singer C" first="C" last="Singer">C. Singer</name></author><author><name sortKey="Bean, J A" sort="Bean, J A" uniqKey="Bean J" first="J A" last="Bean">J A Bean</name></author><author><name sortKey="Weiner, W J" sort="Weiner, W J" uniqKey="Weiner W" first="W J" last="Weiner">W J Weiner</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="ISSN">0885-3185</idno><imprint><date when="1996" type="published">1996</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term><term>Paresthesia (diagnosis)</term><term>Parkinson Disease (diagnosis)</term><term>Somatoform Disorders (diagnosis)</term><term>Tremor (diagnosis)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Paresthesia</term><term>Parkinson Disease</term><term>Somatoform Disorders</term><term>Tremor</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Neurologic Examination</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Although sensory symptoms were not originally described in Parkinson's disease (PD), in recent years it has been increasingly recognized that painful sensations and paresthesias occur in approximately 40% of patients. It has been our observation that PD patients often describe a sensation of internal tremor, a feeling of tremor inside the chest, abdomen, arms, or legs that cannot be seen. We investigated the prevalence and characteristics of internal tremor by administering a questionnaire to 100 consecutive patients with PD and 50 age-matched controls seen in our movement disorders center. A sensation of internal tremor was present in 44% of this sample of PD patients and in 6% of the control population (p < 0.0001). The presence of internal tremor was unrelated to Unified Parkinson's Disease Rating Scale score, Hoehn and Yahr stage, duration of disease, or the presence of observable tremor. The frequency of other sensory symptoms (aching, tingling, burning) was higher in the PD patients with internal tremor (73%) than in those without (45%; p = 0.005). Internal tremor is associated with anxiety in 64% of patients (p < 0.0001). It was described as uncomfortable and was unrelieved by antiparkinsonian medication in three quarters of patients. A sensation of internal tremor is commonly reported by PD patients and should be recognized as a useful diagnostic factor in PD.</div></front></TEI><affiliations><list><country><li>États-Unis</li></country></list><tree><noCountry><name sortKey="Bean, J A" sort="Bean, J A" uniqKey="Bean J" first="J A" last="Bean">J A Bean</name><name sortKey="Singer, C" sort="Singer, C" uniqKey="Singer C" first="C" last="Singer">C. Singer</name><name sortKey="Weiner, W J" sort="Weiner, W J" uniqKey="Weiner W" first="W J" last="Weiner">W J Weiner</name></noCountry><country name="États-Unis"><noRegion><name sortKey="Shulman, L M" sort="Shulman, L M" uniqKey="Shulman L" first="L M" last="Shulman">L M Shulman</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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