Movement Disorders (revue)

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Wilson's disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures

Identifieur interne : 001873 ( PascalFrancis/Corpus ); précédent : 001872; suivant : 001874

Wilson's disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures

Auteurs : Martin Südmeyer ; Andreas Saleh ; Lars Wojtecki ; Mathias Cohnen ; Joachim Gross ; Markus Ploner ; Harald Hefter ; Lars Timmermann ; Alfons Schnitzler

Source :

RBID : Pascal:07-0090866

Descripteurs français

English descriptors

Abstract

Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A03   1    @0 Mov. disord.
A05       @2 21
A06       @2 12
A08 01  1  ENG  @1 Wilson's disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures
A11 01  1    @1 SÜDMEYER (Martin)
A11 02  1    @1 SALEH (Andreas)
A11 03  1    @1 WOJTECKI (Lars)
A11 04  1    @1 COHNEN (Mathias)
A11 05  1    @1 GROSS (Joachim)
A11 06  1    @1 PLONER (Markus)
A11 07  1    @1 HEFTER (Harald)
A11 08  1    @1 TIMMERMANN (Lars)
A11 09  1    @1 SCHNITZLER (Alfons)
A14 01      @1 Department of Neurology, Heinrich-Heine University @2 Düsseldorf @3 DEU @Z 1 aut. @Z 3 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut. @Z 9 aut.
A14 02      @1 Institute of Diagnostic Radiology, University Hospital @2 Düsseldorf @3 DEU @Z 2 aut. @Z 4 aut.
A20       @1 2134-2139
A21       @1 2006
A23 01      @0 ENG
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A44       @0 0000 @1 © 2007 INIST-CNRS. All rights reserved.
A45       @0 24 ref.
A47 01  1    @0 07-0090866
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.
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C03 01  X  SPA  @0 Sistema nervioso patología @5 01
C03 02  X  FRE  @0 Wilson maladie @5 02
C03 02  X  ENG  @0 Wilson disease @5 02
C03 02  X  SPA  @0 Wilson enfermedad @5 02
C03 03  X  FRE  @0 Tremblement @5 03
C03 03  X  ENG  @0 Tremor @5 03
C03 03  X  SPA  @0 Temblor @5 03
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C03 04  X  ENG  @0 Nuclear magnetic resonance imaging @5 09
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C03 05  X  SPA  @0 Núcleo basal @5 10
C03 06  X  FRE  @0 Cuivre @2 NC @5 78
C03 06  X  ENG  @0 Copper @2 NC @5 78
C03 06  X  SPA  @0 Cobre @2 NC @5 78
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C07 01  X  ENG  @0 Digestive diseases @5 37
C07 01  X  SPA  @0 Aparato digestivo patología @5 37
C07 02  X  FRE  @0 Enzymopathie @5 38
C07 02  X  ENG  @0 Enzymopathy @5 38
C07 02  X  SPA  @0 Enzimopatía @5 38
C07 03  X  FRE  @0 Maladie héréditaire @5 39
C07 03  X  ENG  @0 Genetic disease @5 39
C07 03  X  SPA  @0 Enfermedad hereditaria @5 39
C07 04  X  FRE  @0 Métabolisme pathologie @5 40
C07 04  X  ENG  @0 Metabolic diseases @5 40
C07 04  X  SPA  @0 Metabolismo patología @5 40
C07 05  X  FRE  @0 Mouvement involontaire @5 41
C07 05  X  ENG  @0 Involuntary movement @5 41
C07 05  X  SPA  @0 Movimiento involuntario @5 41
C07 06  X  FRE  @0 Trouble neurologique @5 42
C07 06  X  ENG  @0 Neurological disorder @5 42
C07 06  X  SPA  @0 Trastorno neurológico @5 42
C07 07  X  FRE  @0 Encéphale @5 43
C07 07  X  ENG  @0 Encephalon @5 43
C07 07  X  SPA  @0 Encéfalo @5 43
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Format Inist (serveur)

NO : PASCAL 07-0090866 INIST
ET : Wilson's disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures
AU : SÜDMEYER (Martin); SALEH (Andreas); WOJTECKI (Lars); COHNEN (Mathias); GROSS (Joachim); PLONER (Markus); HEFTER (Harald); TIMMERMANN (Lars); SCHNITZLER (Alfons)
AF : Department of Neurology, Heinrich-Heine University/Düsseldorf/Allemagne (1 aut., 3 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut.); Institute of Diagnostic Radiology, University Hospital/Düsseldorf/Allemagne (2 aut., 4 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 12; Pp. 2134-2139; Bibl. 24 ref.
LA : Anglais
EA : Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.
CC : 002B17; 002B17G; 002B24A06
FD : Système nerveux pathologie; Wilson maladie; Tremblement; Imagerie RMN; Noyau gris central; Cuivre
FG : Appareil digestif pathologie; Enzymopathie; Maladie héréditaire; Métabolisme pathologie; Mouvement involontaire; Trouble neurologique; Encéphale; Système nerveux central
ED : Nervous system diseases; Wilson disease; Tremor; Nuclear magnetic resonance imaging; Basal ganglion; Copper
EG : Digestive diseases; Enzymopathy; Genetic disease; Metabolic diseases; Involuntary movement; Neurological disorder; Encephalon; Central nervous system
SD : Sistema nervioso patología; Wilson enfermedad; Temblor; Imaginería RMN; Núcleo basal; Cobre
LO : INIST-20953.354000145356790160
ID : 07-0090866

Links to Exploration step

Pascal:07-0090866

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<div type="abstract" xml:lang="en">Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.</div>
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<s1>SÜDMEYER (Martin)</s1>
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<s1>SALEH (Andreas)</s1>
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<s1>WOJTECKI (Lars)</s1>
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<fA11 i1="04" i2="1">
<s1>COHNEN (Mathias)</s1>
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<fA11 i1="05" i2="1">
<s1>GROSS (Joachim)</s1>
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<fA11 i1="06" i2="1">
<s1>PLONER (Markus)</s1>
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<fA11 i1="07" i2="1">
<s1>HEFTER (Harald)</s1>
</fA11>
<fA11 i1="08" i2="1">
<s1>TIMMERMANN (Lars)</s1>
</fA11>
<fA11 i1="09" i2="1">
<s1>SCHNITZLER (Alfons)</s1>
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<fA14 i1="01">
<s1>Department of Neurology, Heinrich-Heine University</s1>
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<s3>DEU</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
<sZ>9 aut.</sZ>
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<fA14 i1="02">
<s1>Institute of Diagnostic Radiology, University Hospital</s1>
<s2>Düsseldorf</s2>
<s3>DEU</s3>
<sZ>2 aut.</sZ>
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<fA20>
<s1>2134-2139</s1>
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<fA21>
<s1>2006</s1>
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<s0>Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.</s0>
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<s0>002B17</s0>
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<s0>Système nerveux pathologie</s0>
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<s5>03</s5>
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<s5>03</s5>
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<s0>Imagerie RMN</s0>
<s5>09</s5>
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<s0>Nuclear magnetic resonance imaging</s0>
<s5>09</s5>
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<s5>09</s5>
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<s5>10</s5>
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<s2>NC</s2>
<s5>78</s5>
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<s5>38</s5>
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<s0>Metabolic diseases</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Metabolismo patología</s0>
<s5>40</s5>
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<fC07 i1="05" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>41</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>41</s5>
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<s5>42</s5>
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<s0>Neurological disorder</s0>
<s5>42</s5>
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<s5>42</s5>
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<s5>43</s5>
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<s5>43</s5>
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<NO>PASCAL 07-0090866 INIST</NO>
<ET>Wilson's disease tremor is associated with magnetic resonance imaging lesions in basal ganglia structures</ET>
<AU>SÜDMEYER (Martin); SALEH (Andreas); WOJTECKI (Lars); COHNEN (Mathias); GROSS (Joachim); PLONER (Markus); HEFTER (Harald); TIMMERMANN (Lars); SCHNITZLER (Alfons)</AU>
<AF>Department of Neurology, Heinrich-Heine University/Düsseldorf/Allemagne (1 aut., 3 aut., 5 aut., 6 aut., 7 aut., 8 aut., 9 aut.); Institute of Diagnostic Radiology, University Hospital/Düsseldorf/Allemagne (2 aut., 4 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2006; Vol. 21; No. 12; Pp. 2134-2139; Bibl. 24 ref.</SO>
<LA>Anglais</LA>
<EA>Wilson's disease (WD) is an inherited disorder of copper metabolism yielding marked motor deficits, including a severely disabling tremor. As a structural correlate of the disease, a variety of cerebral abnormalities has been revealed. However, the relationship between motor deficits and cerebral lesions has remained largely unknown. Here, we investigated correlation between WD tremor and cerebral magnetic resonance imaging (MRI) findings. Cerebral MRI abnormalities in 6 symptomatic WD patients were compared to findings in 6 asymptomatic WD patients and 10 healthy controls. All patients were treated with long-term copper chelating therapy. Motor symptoms including tremor were determined by Unified Parkinson's Disease Rating Scale Part III (UPDRS-III). MRI findings in symptomatic WD patients revealed significant symmetric T2*-weighted hypointense signal alterations of globus pallidus, head of the caudate nucleus, and substantia nigra. In contrast, MRI of asymptomatic WD patients did not differ from healthy controls. Correlation analysis revealed a significant positive correlation between MRI basal ganglia lesions and UPDRS action tremor score. Our results demonstrate for the first time that Wilson's disease tremor is associated with lesions of the globus pallidus, the head of the caudate nucleus, and the substantia nigra.</EA>
<CC>002B17; 002B17G; 002B24A06</CC>
<FD>Système nerveux pathologie; Wilson maladie; Tremblement; Imagerie RMN; Noyau gris central; Cuivre</FD>
<FG>Appareil digestif pathologie; Enzymopathie; Maladie héréditaire; Métabolisme pathologie; Mouvement involontaire; Trouble neurologique; Encéphale; Système nerveux central</FG>
<ED>Nervous system diseases; Wilson disease; Tremor; Nuclear magnetic resonance imaging; Basal ganglion; Copper</ED>
<EG>Digestive diseases; Enzymopathy; Genetic disease; Metabolic diseases; Involuntary movement; Neurological disorder; Encephalon; Central nervous system</EG>
<SD>Sistema nervioso patología; Wilson enfermedad; Temblor; Imaginería RMN; Núcleo basal; Cobre</SD>
<LO>INIST-20953.354000145356790160</LO>
<ID>07-0090866</ID>
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