Cerebellar axial postural tremor.
Identifieur interne : 004557 ( PubMed/Corpus ); précédent : 004556; suivant : 004558Cerebellar axial postural tremor.
Auteurs : P. Brown ; J C Rothwell ; J M Stevens ; A J Lees ; C D MarsdenSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 1997.
English descriptors
- KwdEn :
- MESH :
- complications : Cerebellar Diseases, Dysarthria.
- diagnosis : Tremor.
- etiology : Tremor.
- innervation : Muscle, Skeletal, Palate.
- pathology : Cerebellar Diseases.
- Adult, Electromyography, Female, Humans, Magnetic Resonance Imaging, Male, Posture.
Abstract
Three cases are presented with a predominantly axial postural tremor, without visible palatal tremor. Tremor varied in frequency between 3 and 10 Hz, often jumping from one frequency to another in this band. All three patients had evidence of cerebellar pathology. Cases 1 and 2 developed tremor in the setting of a late-onset cerebellar degeneration and after excision of a right cerebellar haemangioblastoma, respectively. Etiology was unclear in Case 3. Nevertheless, this patient had a cerebellar dysarthria. The tremor was similar to that sometimes seen in conjunction with palatal tremor, and EMG studies in Case 3 demonstrated a subclinical modulation of palatal muscle activity simultaneous with the truncal tremor. It is suggested that an axial postural tremor may be due to pathology of the cerebellum and its outflow pathways, despite the absence of clinically apparent palatal tremor.
DOI: 10.1002/mds.870120622
PubMed: 9399224
Links to Exploration step
pubmed:9399224Le document en format XML
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<author><name sortKey="Brown, P" sort="Brown, P" uniqKey="Brown P" first="P" last="Brown">P. Brown</name>
<affiliation><nlm:affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, London, England.</nlm:affiliation>
</affiliation>
</author>
<author><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J C" last="Rothwell">J C Rothwell</name>
</author>
<author><name sortKey="Stevens, J M" sort="Stevens, J M" uniqKey="Stevens J" first="J M" last="Stevens">J M Stevens</name>
</author>
<author><name sortKey="Lees, A J" sort="Lees, A J" uniqKey="Lees A" first="A J" last="Lees">A J Lees</name>
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<author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C D" last="Marsden">C D Marsden</name>
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<sourceDesc><biblStruct><analytic><title xml:lang="en">Cerebellar axial postural tremor.</title>
<author><name sortKey="Brown, P" sort="Brown, P" uniqKey="Brown P" first="P" last="Brown">P. Brown</name>
<affiliation><nlm:affiliation>MRC Human Movement and Balance Unit, Institute of Neurology, London, England.</nlm:affiliation>
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<author><name sortKey="Rothwell, J C" sort="Rothwell, J C" uniqKey="Rothwell J" first="J C" last="Rothwell">J C Rothwell</name>
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<author><name sortKey="Stevens, J M" sort="Stevens, J M" uniqKey="Stevens J" first="J M" last="Stevens">J M Stevens</name>
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<author><name sortKey="Lees, A J" sort="Lees, A J" uniqKey="Lees A" first="A J" last="Lees">A J Lees</name>
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<author><name sortKey="Marsden, C D" sort="Marsden, C D" uniqKey="Marsden C" first="C D" last="Marsden">C D Marsden</name>
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<series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Cerebellar Diseases (complications)</term>
<term>Cerebellar Diseases (pathology)</term>
<term>Dysarthria (complications)</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Muscle, Skeletal (innervation)</term>
<term>Palate (innervation)</term>
<term>Posture</term>
<term>Tremor (diagnosis)</term>
<term>Tremor (etiology)</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Cerebellar Diseases</term>
<term>Dysarthria</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Tremor</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Tremor</term>
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<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Muscle, Skeletal</term>
<term>Palate</term>
</keywords>
<keywords scheme="MESH" qualifier="pathology" xml:lang="en"><term>Cerebellar Diseases</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Adult</term>
<term>Electromyography</term>
<term>Female</term>
<term>Humans</term>
<term>Magnetic Resonance Imaging</term>
<term>Male</term>
<term>Posture</term>
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<front><div type="abstract" xml:lang="en">Three cases are presented with a predominantly axial postural tremor, without visible palatal tremor. Tremor varied in frequency between 3 and 10 Hz, often jumping from one frequency to another in this band. All three patients had evidence of cerebellar pathology. Cases 1 and 2 developed tremor in the setting of a late-onset cerebellar degeneration and after excision of a right cerebellar haemangioblastoma, respectively. Etiology was unclear in Case 3. Nevertheless, this patient had a cerebellar dysarthria. The tremor was similar to that sometimes seen in conjunction with palatal tremor, and EMG studies in Case 3 demonstrated a subclinical modulation of palatal muscle activity simultaneous with the truncal tremor. It is suggested that an axial postural tremor may be due to pathology of the cerebellum and its outflow pathways, despite the absence of clinically apparent palatal tremor.</div>
</front>
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<Month>02</Month>
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<Abstract><AbstractText>Three cases are presented with a predominantly axial postural tremor, without visible palatal tremor. Tremor varied in frequency between 3 and 10 Hz, often jumping from one frequency to another in this band. All three patients had evidence of cerebellar pathology. Cases 1 and 2 developed tremor in the setting of a late-onset cerebellar degeneration and after excision of a right cerebellar haemangioblastoma, respectively. Etiology was unclear in Case 3. Nevertheless, this patient had a cerebellar dysarthria. The tremor was similar to that sometimes seen in conjunction with palatal tremor, and EMG studies in Case 3 demonstrated a subclinical modulation of palatal muscle activity simultaneous with the truncal tremor. It is suggested that an axial postural tremor may be due to pathology of the cerebellum and its outflow pathways, despite the absence of clinically apparent palatal tremor.</AbstractText>
</Abstract>
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<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D011187">Posture</DescriptorName>
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<MeshHeading><DescriptorName MajorTopicYN="N" UI="D014202">Tremor</DescriptorName>
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<QualifierName MajorTopicYN="Y" UI="Q000209">etiology</QualifierName>
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