Movement Disorders (revue)

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Postural Tremor in X-Linked Spinal and Bulbar Muscular Atrophy

Identifieur interne : 001F84 ( PascalFrancis/Curation ); précédent : 001F83; suivant : 001F85

Postural Tremor in X-Linked Spinal and Bulbar Muscular Atrophy

Auteurs : Ritsuko Hanajima [Japon] ; Yasuo Terao [Japon] ; Setsu Nakatani-Enomoto [Japon] ; Masashi Hamada [Japon] ; Akihiro Yugeta [Japon] ; Hideyuki Matsumoto [Japon] ; Tomotaka Yamamoto [Japon] ; Shoji Tsuji [Japon] ; Yoshikazu Ugawa [Japon]

Source :

RBID : Pascal:09-0482368

Descripteurs français

English descriptors

Abstract

Postural tremor is a common initial symptom in spinal and bulbar muscular atrophy (SBMA), but its pathophysiological mechanisms remain to be studied. This study was undertaken to examine the physiological mechanisms underlying postural tremor in SBMA. For eight patients (36-63 years old) with genetically confirmed SBMA, we recorded surface electromyograms (EMGs) from the forearm muscles and hand movements with an accelerometer (ACC) while maintaining a posture with and without a weight load. We then analyzed their power spectra and coherence. The peak tremor frequency was 6-9 Hz in seven patients and 2-3 Hz in one patient. Oscillatory movements were associated with EMG activity in five patients, but not in three patients. Weight loads and postural changes affected the tremor frequency in all patients. Tremor was classified as "reflex tremor" in five patients and "mechanical tremor" in three patients. These results suggest that peripheral factors play important roles in tremor genesis in SBMA, although its clinical features resemble essential tremor. Subclinical sensory disturbance or a decrease of motor unit numbers might be candidates for such peripheral factors contributing to tremor genesis in SBMA.
pA  
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A03   1    @0 Mov. disord.
A05       @2 24
A06       @2 14
A08 01  1  ENG  @1 Postural Tremor in X-Linked Spinal and Bulbar Muscular Atrophy
A11 01  1    @1 HANAJIMA (Ritsuko)
A11 02  1    @1 TERAO (Yasuo)
A11 03  1    @1 NAKATANI-ENOMOTO (Setsu)
A11 04  1    @1 HAMADA (Masashi)
A11 05  1    @1 YUGETA (Akihiro)
A11 06  1    @1 MATSUMOTO (Hideyuki)
A11 07  1    @1 YAMAMOTO (Tomotaka)
A11 08  1    @1 TSUJI (Shoji)
A11 09  1    @1 UGAWA (Yoshikazu)
A14 01      @1 Department of Neurology, The University of Tokyo Hospital @2 Tokyo @3 JPN @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 4 aut. @Z 5 aut. @Z 6 aut. @Z 7 aut. @Z 8 aut.
A14 02      @1 Department of Neurology, Fukushima Medical University @2 Fukushima @3 JPN @Z 3 aut. @Z 9 aut.
A20       @1 2063-2069
A21       @1 2009
A23 01      @0 ENG
A43 01      @1 INIST @2 20953 @5 354000171427050040
A44       @0 0000 @1 © 2009 INIST-CNRS. All rights reserved.
A45       @0 27 ref.
A47 01  1    @0 09-0482368
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
A66 01      @0 USA
C01 01    ENG  @0 Postural tremor is a common initial symptom in spinal and bulbar muscular atrophy (SBMA), but its pathophysiological mechanisms remain to be studied. This study was undertaken to examine the physiological mechanisms underlying postural tremor in SBMA. For eight patients (36-63 years old) with genetically confirmed SBMA, we recorded surface electromyograms (EMGs) from the forearm muscles and hand movements with an accelerometer (ACC) while maintaining a posture with and without a weight load. We then analyzed their power spectra and coherence. The peak tremor frequency was 6-9 Hz in seven patients and 2-3 Hz in one patient. Oscillatory movements were associated with EMG activity in five patients, but not in three patients. Weight loads and postural changes affected the tremor frequency in all patients. Tremor was classified as "reflex tremor" in five patients and "mechanical tremor" in three patients. These results suggest that peripheral factors play important roles in tremor genesis in SBMA, although its clinical features resemble essential tremor. Subclinical sensory disturbance or a decrease of motor unit numbers might be candidates for such peripheral factors contributing to tremor genesis in SBMA.
C02 01  X    @0 002B17
C02 02  X    @0 002B16B
C03 01  X  FRE  @0 Tremblement @5 01
C03 01  X  ENG  @0 Tremor @5 01
C03 01  X  SPA  @0 Temblor @5 01
C03 02  X  FRE  @0 Maladie de Kennedy @2 NM @5 02
C03 02  X  ENG  @0 Kennedy's disease @2 NM @5 02
C03 02  X  SPA  @0 Enfermedad de Kennedy @2 NM @5 02
C03 03  X  FRE  @0 Pathologie du système nerveux @5 03
C03 03  X  ENG  @0 Nervous system diseases @5 03
C03 03  X  SPA  @0 Sistema nervioso patología @5 03
C03 04  X  FRE  @0 Réflexe @5 09
C03 04  X  ENG  @0 Reflex @5 09
C03 04  X  SPA  @0 Reflejo @5 09
C03 05  X  FRE  @0 Cohérence @5 10
C03 05  X  ENG  @0 Coherence @5 10
C03 05  X  SPA  @0 Coherencia @5 10
C07 01  X  FRE  @0 Mouvement involontaire @5 37
C07 01  X  ENG  @0 Involuntary movement @5 37
C07 01  X  SPA  @0 Movimiento involuntario @5 37
C07 02  X  FRE  @0 Trouble neurologique @5 39
C07 02  X  ENG  @0 Neurological disorder @5 39
C07 02  X  SPA  @0 Trastorno neurológico @5 39
N21       @1 348
N44 01      @1 OTO
N82       @1 OTO

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Pascal:09-0482368

Le document en format XML

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<div type="abstract" xml:lang="en">Postural tremor is a common initial symptom in spinal and bulbar muscular atrophy (SBMA), but its pathophysiological mechanisms remain to be studied. This study was undertaken to examine the physiological mechanisms underlying postural tremor in SBMA. For eight patients (36-63 years old) with genetically confirmed SBMA, we recorded surface electromyograms (EMGs) from the forearm muscles and hand movements with an accelerometer (ACC) while maintaining a posture with and without a weight load. We then analyzed their power spectra and coherence. The peak tremor frequency was 6-9 Hz in seven patients and 2-3 Hz in one patient. Oscillatory movements were associated with EMG activity in five patients, but not in three patients. Weight loads and postural changes affected the tremor frequency in all patients. Tremor was classified as "reflex tremor" in five patients and "mechanical tremor" in three patients. These results suggest that peripheral factors play important roles in tremor genesis in SBMA, although its clinical features resemble essential tremor. Subclinical sensory disturbance or a decrease of motor unit numbers might be candidates for such peripheral factors contributing to tremor genesis in SBMA.</div>
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<s1>UGAWA (Yoshikazu)</s1>
</fA11>
<fA14 i1="01">
<s1>Department of Neurology, The University of Tokyo Hospital</s1>
<s2>Tokyo</s2>
<s3>JPN</s3>
<sZ>1 aut.</sZ>
<sZ>2 aut.</sZ>
<sZ>3 aut.</sZ>
<sZ>4 aut.</sZ>
<sZ>5 aut.</sZ>
<sZ>6 aut.</sZ>
<sZ>7 aut.</sZ>
<sZ>8 aut.</sZ>
</fA14>
<fA14 i1="02">
<s1>Department of Neurology, Fukushima Medical University</s1>
<s2>Fukushima</s2>
<s3>JPN</s3>
<sZ>3 aut.</sZ>
<sZ>9 aut.</sZ>
</fA14>
<fA20>
<s1>2063-2069</s1>
</fA20>
<fA21>
<s1>2009</s1>
</fA21>
<fA23 i1="01">
<s0>ENG</s0>
</fA23>
<fA43 i1="01">
<s1>INIST</s1>
<s2>20953</s2>
<s5>354000171427050040</s5>
</fA43>
<fA44>
<s0>0000</s0>
<s1>© 2009 INIST-CNRS. All rights reserved.</s1>
</fA44>
<fA45>
<s0>27 ref.</s0>
</fA45>
<fA47 i1="01" i2="1">
<s0>09-0482368</s0>
</fA47>
<fA60>
<s1>P</s1>
</fA60>
<fA61>
<s0>A</s0>
</fA61>
<fA64 i1="01" i2="1">
<s0>Movement disorders</s0>
</fA64>
<fA66 i1="01">
<s0>USA</s0>
</fA66>
<fC01 i1="01" l="ENG">
<s0>Postural tremor is a common initial symptom in spinal and bulbar muscular atrophy (SBMA), but its pathophysiological mechanisms remain to be studied. This study was undertaken to examine the physiological mechanisms underlying postural tremor in SBMA. For eight patients (36-63 years old) with genetically confirmed SBMA, we recorded surface electromyograms (EMGs) from the forearm muscles and hand movements with an accelerometer (ACC) while maintaining a posture with and without a weight load. We then analyzed their power spectra and coherence. The peak tremor frequency was 6-9 Hz in seven patients and 2-3 Hz in one patient. Oscillatory movements were associated with EMG activity in five patients, but not in three patients. Weight loads and postural changes affected the tremor frequency in all patients. Tremor was classified as "reflex tremor" in five patients and "mechanical tremor" in three patients. These results suggest that peripheral factors play important roles in tremor genesis in SBMA, although its clinical features resemble essential tremor. Subclinical sensory disturbance or a decrease of motor unit numbers might be candidates for such peripheral factors contributing to tremor genesis in SBMA.</s0>
</fC01>
<fC02 i1="01" i2="X">
<s0>002B17</s0>
</fC02>
<fC02 i1="02" i2="X">
<s0>002B16B</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Tremblement</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Tremor</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Temblor</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Maladie de Kennedy</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Kennedy's disease</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Enfermedad de Kennedy</s0>
<s2>NM</s2>
<s5>02</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>03</s5>
</fC03>
<fC03 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>03</s5>
</fC03>
<fC03 i1="04" i2="X" l="FRE">
<s0>Réflexe</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="ENG">
<s0>Reflex</s0>
<s5>09</s5>
</fC03>
<fC03 i1="04" i2="X" l="SPA">
<s0>Reflejo</s0>
<s5>09</s5>
</fC03>
<fC03 i1="05" i2="X" l="FRE">
<s0>Cohérence</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="ENG">
<s0>Coherence</s0>
<s5>10</s5>
</fC03>
<fC03 i1="05" i2="X" l="SPA">
<s0>Coherencia</s0>
<s5>10</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Mouvement involontaire</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Involuntary movement</s0>
<s5>37</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Movimiento involuntario</s0>
<s5>37</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Trouble neurologique</s0>
<s5>39</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Neurological disorder</s0>
<s5>39</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Trastorno neurológico</s0>
<s5>39</s5>
</fC07>
<fN21>
<s1>348</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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