MovDisordV3, PascalFrancis, Corpus, bibRecord, 002420

Multiple sclerosis tremor and the Stewart-Holmes manoeuvre

Identifieur interne : 002420 ( PascalFrancis/Corpus ); précédent : 002419; suivant : 002421

Multiple sclerosis tremor and the Stewart-Holmes manoeuvre

Auteurs : Emmanuelle Waubant ; Sophie Tezenas Du Montcel ; Charles Jedynak ; Michael Obadia ; Hassan Hosseini ; Philippe Damier ; Catherine Lubetzki ; Yves Agid ; Jean-Denis Degos

Source :

Movement disorders [ 0885-3185 ] ; 2003.

RBID : Pascal:04-0010355

Descripteurs français

Pascal (Inist)
- Sclérose en plaques, Tremblement, Cérébelleux syndrome, Indice gravité, Complication, Exploration, Homme, Manoeuvre Stewart-Holmes.

English descriptors

KwdEn :
- Cerebellar syndrome, Complication, Exploration, Human, Multiple sclerosis, Severity score, Tremor.

Abstract

The objective of this study is to define tremor and cerebellar dysfunction and determine whether kinetic and postural tremor correlate with cerebellar dysfunction in patients with multiple sclerosis (MS). Cerebellar symptoms such as dysmetria often interfere with tremor evaluation in MS. The Stewart-Holmes (SH) manoeuvre, which has been recently quantified, may offer a selective evaluation of cerebellar dysfunction in such patients. Thirty-two patients with definite MS and arm tremor were evaluated (simplified Fahn tremor scale for kinetic and postural tremor, finger-to-nose test, clinical SH manoeuvre, quantitative study of the SH manoeuvre). Median severity of kinetic and postural tremor on the most disabled side was, respectively, 2 (range 0-4) and 1.5 (range 0-4). Clinical SH scores were moderately correlated to quantified SH measures (r = 0.36, P < 0.05). Kinetic and postural tremors were strongly correlated (r = 0.73, P < 0.0001) but did not correlate with clinical or quantified SH scores. Patients with bilateral tremor had higher scores for quantified SH, and a trend to higher clinical SH and finger-to-nose scores than patients with unilateral tremor. Although clinically associated, cerebellar dysfunction and tremor may be partly independent symptoms, suggesting they may relate to dysfunction of different neuronal systems. The SH manoeuvre should be part of the evaluation of MS patients considered for surgery of tremor.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

A01	`01`	`1`		`@0 0885-3185`
A03		`1`		`@0 Mov. disord.`
A05				`@2 18`
A06				`@2 8`
A08	`01`	`1`	`ENG`	`@1 Multiple sclerosis tremor and the Stewart-Holmes manoeuvre`
A11	`01`	`1`		`@1 WAUBANT (Emmanuelle)`
A11	`02`	`1`		`@1 TEZENAS DU MONTCEL (Sophie)`
A11	`03`	`1`		`@1 JEDYNAK (Charles)`
A11	`04`	`1`		`@1 OBADIA (Michael)`
A11	`05`	`1`		`@1 HOSSEINI (Hassan)`
A11	`06`	`1`		`@1 DAMIER (Philippe)`
A11	`07`	`1`		`@1 LUBETZKI (Catherine)`
A11	`08`	`1`		`@1 AGID (Yves)`
A11	`09`	`1`		`@1 DEGOS (Jean-Denis)`
A14	`01`			`@1 Federation de Neurologie, Centre Hospitalier Universitaire (CHU) Pitié Salpêtrière @2 Paris @3 FRA @Z 1 aut. @Z 3 aut. @Z 4 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.`
A14	`02`			`@1 Service d'Informatique Médicale, CHU Pitié Salpêtrière @2 Paris @3 FRA @Z 2 aut.`
A14	`03`			`@1 Service de Neurologie, Hôpital Henri Mondor @2 Créteil @3 FRA @Z 5 aut.`
A20				`@1 948-952`
A21				`@1 2003`
A23	`01`			`@0 ENG`
A43	`01`			`@1 INIST @2 20953 @5 354000112695530160`
A44				`@0 0000 @1 © 2004 INIST-CNRS. All rights reserved.`
A45				`@0 15 ref.`
A47	`01`	`1`		`@0 04-0010355`
A60				`@1 P @3 CC`
A61				`@0 A`
A64	`01`	`1`		`@0 Movement disorders`
A66	`01`			`@0 USA`
C01	`01`		`ENG`	@0 The objective of this study is to define tremor and cerebellar dysfunction and determine whether kinetic and postural tremor correlate with cerebellar dysfunction in patients with multiple sclerosis (MS). Cerebellar symptoms such as dysmetria often interfere with tremor evaluation in MS. The Stewart-Holmes (SH) manoeuvre, which has been recently quantified, may offer a selective evaluation of cerebellar dysfunction in such patients. Thirty-two patients with definite MS and arm tremor were evaluated (simplified Fahn tremor scale for kinetic and postural tremor, finger-to-nose test, clinical SH manoeuvre, quantitative study of the SH manoeuvre). Median severity of kinetic and postural tremor on the most disabled side was, respectively, 2 (range 0-4) and 1.5 (range 0-4). Clinical SH scores were moderately correlated to quantified SH measures (r = 0.36, P < 0.05). Kinetic and postural tremors were strongly correlated (r = 0.73, P < 0.0001) but did not correlate with clinical or quantified SH scores. Patients with bilateral tremor had higher scores for quantified SH, and a trend to higher clinical SH and finger-to-nose scores than patients with unilateral tremor. Although clinically associated, cerebellar dysfunction and tremor may be partly independent symptoms, suggesting they may relate to dysfunction of different neuronal systems. The SH manoeuvre should be part of the evaluation of MS patients considered for surgery of tremor.
C02	`01`	`X`		`@0 002B17F`
C03	`01`	`X`	`FRE`	`@0 Sclérose en plaques @2 NM @5 01`
C03	`01`	`X`	`ENG`	`@0 Multiple sclerosis @2 NM @5 01`
C03	`01`	`X`	`SPA`	`@0 Esclerosis en placa @2 NM @5 01`
C03	`02`	`X`	`FRE`	`@0 Tremblement @5 04`
C03	`02`	`X`	`ENG`	`@0 Tremor @5 04`
C03	`02`	`X`	`SPA`	`@0 Temblor @5 04`
C03	`03`	`X`	`FRE`	`@0 Cérébelleux syndrome @2 NM @5 07`
C03	`03`	`X`	`ENG`	`@0 Cerebellar syndrome @2 NM @5 07`
C03	`03`	`X`	`SPA`	`@0 Cerebeloso síndrome @2 NM @5 07`
C03	`04`	`X`	`FRE`	`@0 Indice gravité @5 08`
C03	`04`	`X`	`ENG`	`@0 Severity score @5 08`
C03	`04`	`X`	`SPA`	`@0 Indicio gravedad @5 08`
C03	`05`	`X`	`FRE`	`@0 Complication @5 17`
C03	`05`	`X`	`ENG`	`@0 Complication @5 17`
C03	`05`	`X`	`SPA`	`@0 Complicación @5 17`
C03	`06`	`X`	`FRE`	`@0 Exploration @5 18`
C03	`06`	`X`	`ENG`	`@0 Exploration @5 18`
C03	`06`	`X`	`SPA`	`@0 Exploración @5 18`
C03	`07`	`X`	`FRE`	`@0 Homme @5 20`
C03	`07`	`X`	`ENG`	`@0 Human @5 20`
C03	`07`	`X`	`SPA`	`@0 Hombre @5 20`
C03	`08`	`X`	`FRE`	`@0 Manoeuvre Stewart-Holmes @4 INC @5 86`
C07	`01`	`X`	`FRE`	`@0 Système nerveux pathologie @5 37`
C07	`01`	`X`	`ENG`	`@0 Nervous system diseases @5 37`
C07	`01`	`X`	`SPA`	`@0 Sistema nervioso patología @5 37`
C07	`02`	`X`	`FRE`	`@0 Système nerveux central pathologie @5 38`
C07	`02`	`X`	`ENG`	`@0 Central nervous system disease @5 38`
C07	`02`	`X`	`SPA`	`@0 Sistema nervosio central patología @5 38`
C07	`03`	`X`	`FRE`	`@0 Maladie inflammatoire @5 39`
C07	`03`	`X`	`ENG`	`@0 Inflammatory disease @5 39`
C07	`03`	`X`	`SPA`	`@0 Enfermedad inflamatoria @5 39`
C07	`04`	`X`	`FRE`	`@0 Mouvement involontaire @5 45`
C07	`04`	`X`	`ENG`	`@0 Involuntary movement @5 45`
C07	`04`	`X`	`SPA`	`@0 Movimiento involuntario @5 45`
C07	`05`	`X`	`FRE`	`@0 Trouble neurologique @5 46`
C07	`05`	`X`	`ENG`	`@0 Neurological disorder @5 46`
C07	`05`	`X`	`SPA`	`@0 Trastorno neurológico @5 46`
N21				`@1 006`
N82				`@1 PSI`

Format Inist (serveur)

NO :	PASCAL 04-0010355 INIST
ET :	Multiple sclerosis tremor and the Stewart-Holmes manoeuvre
AU :	WAUBANT (Emmanuelle); TEZENAS DU MONTCEL (Sophie); JEDYNAK (Charles); OBADIA (Michael); HOSSEINI (Hassan); DAMIER (Philippe); LUBETZKI (Catherine); AGID (Yves); DEGOS (Jean-Denis)
AF :	Federation de Neurologie, Centre Hospitalier Universitaire (CHU) Pitié Salpêtrière/Paris/France (1 aut., 3 aut., 4 aut., 6 aut., 7 aut., 8 aut.); Service d'Informatique Médicale, CHU Pitié Salpêtrière/Paris/France (2 aut.); Service de Neurologie, Hôpital Henri Mondor/Créteil/France (5 aut.)
DT :	Publication en série; Courte communication, note brève; Niveau analytique
SO :	Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 8; Pp. 948-952; Bibl. 15 ref.
LA :	Anglais
EA :	The objective of this study is to define tremor and cerebellar dysfunction and determine whether kinetic and postural tremor correlate with cerebellar dysfunction in patients with multiple sclerosis (MS). Cerebellar symptoms such as dysmetria often interfere with tremor evaluation in MS. The Stewart-Holmes (SH) manoeuvre, which has been recently quantified, may offer a selective evaluation of cerebellar dysfunction in such patients. Thirty-two patients with definite MS and arm tremor were evaluated (simplified Fahn tremor scale for kinetic and postural tremor, finger-to-nose test, clinical SH manoeuvre, quantitative study of the SH manoeuvre). Median severity of kinetic and postural tremor on the most disabled side was, respectively, 2 (range 0-4) and 1.5 (range 0-4). Clinical SH scores were moderately correlated to quantified SH measures (r = 0.36, P < 0.05). Kinetic and postural tremors were strongly correlated (r = 0.73, P < 0.0001) but did not correlate with clinical or quantified SH scores. Patients with bilateral tremor had higher scores for quantified SH, and a trend to higher clinical SH and finger-to-nose scores than patients with unilateral tremor. Although clinically associated, cerebellar dysfunction and tremor may be partly independent symptoms, suggesting they may relate to dysfunction of different neuronal systems. The SH manoeuvre should be part of the evaluation of MS patients considered for surgery of tremor.
CC :	002B17F
FD :	Sclérose en plaques; Tremblement; Cérébelleux syndrome; Indice gravité; Complication; Exploration; Homme; Manoeuvre Stewart-Holmes
FG :	Système nerveux pathologie; Système nerveux central pathologie; Maladie inflammatoire; Mouvement involontaire; Trouble neurologique
ED :	Multiple sclerosis; Tremor; Cerebellar syndrome; Severity score; Complication; Exploration; Human
EG :	Nervous system diseases; Central nervous system disease; Inflammatory disease; Involuntary movement; Neurological disorder
SD :	Esclerosis en placa; Temblor; Cerebeloso síndrome; Indicio gravedad; Complicación; Exploración; Hombre
LO :	INIST-20953.354000112695530160
ID :	04-0010355

Links to Exploration step

Pascal:04-0010355

Le document en format XML

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<series><title level="j" type="main">Movement disorders</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Cerebellar syndrome</term>
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<keywords scheme="Pascal" xml:lang="fr"><term>Sclérose en plaques</term>
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<term>Cérébelleux syndrome</term>
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<term>Complication</term>
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<front><div type="abstract" xml:lang="en">The objective of this study is to define tremor and cerebellar dysfunction and determine whether kinetic and postural tremor correlate with cerebellar dysfunction in patients with multiple sclerosis (MS). Cerebellar symptoms such as dysmetria often interfere with tremor evaluation in MS. The Stewart-Holmes (SH) manoeuvre, which has been recently quantified, may offer a selective evaluation of cerebellar dysfunction in such patients. Thirty-two patients with definite MS and arm tremor were evaluated (simplified Fahn tremor scale for kinetic and postural tremor, finger-to-nose test, clinical SH manoeuvre, quantitative study of the SH manoeuvre). Median severity of kinetic and postural tremor on the most disabled side was, respectively, 2 (range 0-4) and 1.5 (range 0-4). Clinical SH scores were moderately correlated to quantified SH measures (r = 0.36, P < 0.05). Kinetic and postural tremors were strongly correlated (r = 0.73, P < 0.0001) but did not correlate with clinical or quantified SH scores. Patients with bilateral tremor had higher scores for quantified SH, and a trend to higher clinical SH and finger-to-nose scores than patients with unilateral tremor. Although clinically associated, cerebellar dysfunction and tremor may be partly independent symptoms, suggesting they may relate to dysfunction of different neuronal systems. The SH manoeuvre should be part of the evaluation of MS patients considered for surgery of tremor.</div>
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<fA14 i1="01"><s1>Federation de Neurologie, Centre Hospitalier Universitaire (CHU) Pitié Salpêtrière</s1>
<s2>Paris</s2>
<s3>FRA</s3>
<sZ>1 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
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<sZ>2 aut.</sZ>
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<fA14 i1="03"><s1>Service de Neurologie, Hôpital Henri Mondor</s1>
<s2>Créteil</s2>
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<fC01 i1="01" l="ENG"><s0>The objective of this study is to define tremor and cerebellar dysfunction and determine whether kinetic and postural tremor correlate with cerebellar dysfunction in patients with multiple sclerosis (MS). Cerebellar symptoms such as dysmetria often interfere with tremor evaluation in MS. The Stewart-Holmes (SH) manoeuvre, which has been recently quantified, may offer a selective evaluation of cerebellar dysfunction in such patients. Thirty-two patients with definite MS and arm tremor were evaluated (simplified Fahn tremor scale for kinetic and postural tremor, finger-to-nose test, clinical SH manoeuvre, quantitative study of the SH manoeuvre). Median severity of kinetic and postural tremor on the most disabled side was, respectively, 2 (range 0-4) and 1.5 (range 0-4). Clinical SH scores were moderately correlated to quantified SH measures (r = 0.36, P < 0.05). Kinetic and postural tremors were strongly correlated (r = 0.73, P < 0.0001) but did not correlate with clinical or quantified SH scores. Patients with bilateral tremor had higher scores for quantified SH, and a trend to higher clinical SH and finger-to-nose scores than patients with unilateral tremor. Although clinically associated, cerebellar dysfunction and tremor may be partly independent symptoms, suggesting they may relate to dysfunction of different neuronal systems. The SH manoeuvre should be part of the evaluation of MS patients considered for surgery of tremor.</s0>
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<s5>37</s5>
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<fC07 i1="02" i2="X" l="FRE"><s0>Système nerveux central pathologie</s0>
<s5>38</s5>
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<server><NO>PASCAL 04-0010355 INIST</NO>
<ET>Multiple sclerosis tremor and the Stewart-Holmes manoeuvre</ET>
<AU>WAUBANT (Emmanuelle); TEZENAS DU MONTCEL (Sophie); JEDYNAK (Charles); OBADIA (Michael); HOSSEINI (Hassan); DAMIER (Philippe); LUBETZKI (Catherine); AGID (Yves); DEGOS (Jean-Denis)</AU>
<AF>Federation de Neurologie, Centre Hospitalier Universitaire (CHU) Pitié Salpêtrière/Paris/France (1 aut., 3 aut., 4 aut., 6 aut., 7 aut., 8 aut.); Service d'Informatique Médicale, CHU Pitié Salpêtrière/Paris/France (2 aut.); Service de Neurologie, Hôpital Henri Mondor/Créteil/France (5 aut.)</AF>
<DT>Publication en série; Courte communication, note brève; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2003; Vol. 18; No. 8; Pp. 948-952; Bibl. 15 ref.</SO>
<LA>Anglais</LA>
<EA>The objective of this study is to define tremor and cerebellar dysfunction and determine whether kinetic and postural tremor correlate with cerebellar dysfunction in patients with multiple sclerosis (MS). Cerebellar symptoms such as dysmetria often interfere with tremor evaluation in MS. The Stewart-Holmes (SH) manoeuvre, which has been recently quantified, may offer a selective evaluation of cerebellar dysfunction in such patients. Thirty-two patients with definite MS and arm tremor were evaluated (simplified Fahn tremor scale for kinetic and postural tremor, finger-to-nose test, clinical SH manoeuvre, quantitative study of the SH manoeuvre). Median severity of kinetic and postural tremor on the most disabled side was, respectively, 2 (range 0-4) and 1.5 (range 0-4). Clinical SH scores were moderately correlated to quantified SH measures (r = 0.36, P < 0.05). Kinetic and postural tremors were strongly correlated (r = 0.73, P < 0.0001) but did not correlate with clinical or quantified SH scores. Patients with bilateral tremor had higher scores for quantified SH, and a trend to higher clinical SH and finger-to-nose scores than patients with unilateral tremor. Although clinically associated, cerebellar dysfunction and tremor may be partly independent symptoms, suggesting they may relate to dysfunction of different neuronal systems. The SH manoeuvre should be part of the evaluation of MS patients considered for surgery of tremor.</EA>
<CC>002B17F</CC>
<FD>Sclérose en plaques; Tremblement; Cérébelleux syndrome; Indice gravité; Complication; Exploration; Homme; Manoeuvre Stewart-Holmes</FD>
<FG>Système nerveux pathologie; Système nerveux central pathologie; Maladie inflammatoire; Mouvement involontaire; Trouble neurologique</FG>
<ED>Multiple sclerosis; Tremor; Cerebellar syndrome; Severity score; Complication; Exploration; Human</ED>
<EG>Nervous system diseases; Central nervous system disease; Inflammatory disease; Involuntary movement; Neurological disorder</EG>
<SD>Esclerosis en placa; Temblor; Cerebeloso síndrome; Indicio gravedad; Complicación; Exploración; Hombre</SD>
<LO>INIST-20953.354000112695530160</LO>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Multiple sclerosis tremor and the Stewart-Holmes manoeuvre

Multiple sclerosis tremor and the Stewart-Holmes manoeuvre

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