Movement Disorders (revue)

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Essential tremor centralized brain repository : Diagnostic validity and clinical characteristics of a highly selected group of essential tremor cases

Identifieur interne : 000F98 ( PascalFrancis/Curation ); précédent : 000F97; suivant : 000F99

Essential 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 [États-Unis] ; Carol B. Moskowitz [États-Unis]

Source :

RBID : Pascal:06-0002211

Descripteurs français

English descriptors

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 overarching 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 ≥ 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.
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A11 02  1    @1 BORDEN (Sarah)
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C01 01    ENG  @0 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 overarching 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 ≥ 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.
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C07 03  X  ENG  @0 Central nervous system @5 39
C07 03  X  SPA  @0 Sistema nervioso central @5 39
N21       @1 002
N44 01      @1 OTO
N82       @1 OTO

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Pascal:06-0002211

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