A new diagnostic test to distinguish tremulous Parkinson's disease from advanced essential tremor.
Identifieur interne : 001248 ( PubMed/Corpus ); précédent : 001247; suivant : 001249A new diagnostic test to distinguish tremulous Parkinson's disease from advanced essential tremor.
Auteurs : Muthuraman Muthuraman ; Abdulnasir Hossen ; Ulrich Heute ; Günther Deuschl ; Jan RaethjenSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2011.
English descriptors
- KwdEn :
- MESH :
Abstract
Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult.
DOI: 10.1002/mds.23672
PubMed: 21520285
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pubmed:21520285Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A new diagnostic test to distinguish tremulous Parkinson's disease from advanced essential tremor.</title>
<author><name sortKey="Muthuraman, Muthuraman" sort="Muthuraman, Muthuraman" uniqKey="Muthuraman M" first="Muthuraman" last="Muthuraman">Muthuraman Muthuraman</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Kiel, Kiel, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hossen, Abdulnasir" sort="Hossen, Abdulnasir" uniqKey="Hossen A" first="Abdulnasir" last="Hossen">Abdulnasir Hossen</name>
</author>
<author><name sortKey="Heute, Ulrich" sort="Heute, Ulrich" uniqKey="Heute U" first="Ulrich" last="Heute">Ulrich Heute</name>
</author>
<author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name>
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<author><name sortKey="Raethjen, Jan" sort="Raethjen, Jan" uniqKey="Raethjen J" first="Jan" last="Raethjen">Jan Raethjen</name>
</author>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">A new diagnostic test to distinguish tremulous Parkinson's disease from advanced essential tremor.</title>
<author><name sortKey="Muthuraman, Muthuraman" sort="Muthuraman, Muthuraman" uniqKey="Muthuraman M" first="Muthuraman" last="Muthuraman">Muthuraman Muthuraman</name>
<affiliation><nlm:affiliation>Department of Neurology, University of Kiel, Kiel, Germany.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Hossen, Abdulnasir" sort="Hossen, Abdulnasir" uniqKey="Hossen A" first="Abdulnasir" last="Hossen">Abdulnasir Hossen</name>
</author>
<author><name sortKey="Heute, Ulrich" sort="Heute, Ulrich" uniqKey="Heute U" first="Ulrich" last="Heute">Ulrich Heute</name>
</author>
<author><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name>
</author>
<author><name sortKey="Raethjen, Jan" sort="Raethjen, Jan" uniqKey="Raethjen J" first="Jan" last="Raethjen">Jan Raethjen</name>
</author>
</analytic>
<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="eISSN">1531-8257</idno>
<imprint><date when="2011" type="published">2011</date>
</imprint>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Diagnostic Tests, Routine</term>
<term>Essential Tremor (diagnosis)</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Posture</term>
<term>ROC Curve</term>
<term>Severity of Illness Index</term>
<term>Spectrum Analysis</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Essential Tremor</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Aged</term>
<term>Aged, 80 and over</term>
<term>Diagnostic Tests, Routine</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Posture</term>
<term>ROC Curve</term>
<term>Severity of Illness Index</term>
<term>Spectrum Analysis</term>
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<front><div type="abstract" xml:lang="en">Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult.</div>
</front>
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<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">21520285</PMID>
<DateCreated><Year>2011</Year>
<Month>11</Month>
<Day>04</Day>
</DateCreated>
<DateCompleted><Year>2012</Year>
<Month>02</Month>
<Day>29</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1531-8257</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>26</Volume>
<Issue>8</Issue>
<PubDate><Year>2011</Year>
<Month>Jul</Month>
</PubDate>
</JournalIssue>
<Title>Movement disorders : official journal of the Movement Disorder Society</Title>
<ISOAbbreviation>Mov. Disord.</ISOAbbreviation>
</Journal>
<ArticleTitle>A new diagnostic test to distinguish tremulous Parkinson's disease from advanced essential tremor.</ArticleTitle>
<Pagination><MedlinePgn>1548-52</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1002/mds.23672</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Clinical distinction between advanced essential tremor and tremulous Parkinson's disease can be difficult.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">In selected power spectra of accelerometric postural tremor recordings on the more affected side of 41 patients with essential tremor and 39 patients with tremulous Parkinson's disease being indistinguishable by tremor frequency, peak power or number of harmonic peaks, waveform asymmetry (autocorrelation decay), and mean peak power of all harmonic peaks were computed. Cutoff for essential tremor-Parkinson's disease distinction was determined by receiver operating characteristics. Diagnostic yield was tested in 12 clinically unclear patients with monosymptomatic tremor, subsequently definitively diagnosed with essential tremor (n = 2) or Parkinson's disease (n = 10) by 123-I FP-CIT-single-photon emission computed tomography, fluorodopa-positron emission tomography, or clinical course.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">By autocorrelation decay 64%, by mean harmonic peak power 94% (Parkinson's disease > essential tremor) of patients with a definite clinical diagnosis, and 11 of 12 clinically unclear patients were classified correctly.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Mean harmonic power is a useful measure to separate clinically difficult cases of advanced essential tremor from tremulous Parkinson's disease.</AbstractText>
<CopyrightInformation>Copyright © 2011 Movement Disorder Society.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Muthuraman</LastName>
<ForeName>Muthuraman</ForeName>
<Initials>M</Initials>
<AffiliationInfo><Affiliation>Department of Neurology, University of Kiel, Kiel, Germany.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Hossen</LastName>
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<Author ValidYN="Y"><LastName>Heute</LastName>
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<Author ValidYN="Y"><LastName>Deuschl</LastName>
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<Author ValidYN="Y"><LastName>Raethjen</LastName>
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<Language>eng</Language>
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<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Mov Disord</MedlineTA>
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<ISSNLinking>0885-3185</ISSNLinking>
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<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000328">Adult</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D003955">Diagnostic Tests, Routine</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D020329">Essential Tremor</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000175">diagnosis</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D011187">Posture</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012372">ROC Curve</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D012720">Severity of Illness Index</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D013057">Spectrum Analysis</DescriptorName>
</MeshHeading>
</MeshHeadingList>
</MedlineCitation>
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