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Prevalence of essential tremor in patients with Parkinson's disease vs. Parkinson-plus syndromes.

Identifieur interne : 002713 ( PubMed/Curation ); précédent : 002712; suivant : 002714

Prevalence of essential tremor in patients with Parkinson's disease vs. Parkinson-plus syndromes.

Auteurs : Elan D. Louis [États-Unis] ; Steven J. Frucht

Source :

Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2007.

RBID : pubmed:17516475

English descriptors

KwdEn :
- Aged, Confidence Intervals, Essential Tremor (complications), Essential Tremor (epidemiology), Essential Tremor (pathology), Female, Humans, Lewy Bodies (pathology), Male, Middle Aged, New York (epidemiology), Parkinson Disease (complications), Parkinson Disease (epidemiology), Parkinson Disease (pathology), Prevalence, Retrospective Studies.
MESH :
- geographic , epidemiology : New York.
- complications : Essential Tremor, Parkinson Disease.
- epidemiology : Essential Tremor, Parkinson Disease.
- pathology : Essential Tremor, Lewy Bodies, Parkinson Disease.
- Aged, Confidence Intervals, Female, Humans, Male, Middle Aged, Prevalence, Retrospective Studies.

Abstract

Clinical literature suggests an association between essential tremor (ET) and Parkinson's disease (PD), and recent pathological studies describe Lewy bodies in some ET patients. If some ET were an expression of Lewy body disease, one could hypothesize that ET patients who develop parkinsonism would more likely develop PD (a Lewy body disease) than non-Lewy body forms of parkinsonism. The objective was to compare the proportions of patients with PD vs. Parkinson-plus syndromes who had diagnoses of ET. Retrospective chart review at the Neurological Institute (NI) of New York. A larger proportion of the 210 PD than 210 Parkinson-plus syndrome patients had kinetic tremor on examination (119 [56.7%] vs. 70 [33.3%], P < 0.001). Patients with PD were more likely to have a prior diagnosis of ET than were patients with Parkinson-plus syndromes (7.1% vs. 2.4%, OR 3.16, 95% CI 1.13-8.85, P = 0.02) and more likely to have a diagnosis of ET assigned by an NI neurologist (5.3% vs. 0.0%, OR 12.85, 95% CI 1.66-99.8, P = 0.001). Patients with PD were three to thirteen times more likely to have diagnoses of ET than were patients with Parkinson-plus syndromes. These data further confirm the link between ET and PD, and possibly, between ET and Lewy body disease.

DOI: 10.1002/mds.21383
PubMed: 17516475

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Le document en format XML

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<author><name sortKey="Louis, Elan D" sort="Louis, Elan D" uniqKey="Louis E" first="Elan D" last="Louis">Elan D. Louis</name>
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<front><div type="abstract" xml:lang="en">Clinical literature suggests an association between essential tremor (ET) and Parkinson's disease (PD), and recent pathological studies describe Lewy bodies in some ET patients. If some ET were an expression of Lewy body disease, one could hypothesize that ET patients who develop parkinsonism would more likely develop PD (a Lewy body disease) than non-Lewy body forms of parkinsonism. The objective was to compare the proportions of patients with PD vs. Parkinson-plus syndromes who had diagnoses of ET. Retrospective chart review at the Neurological Institute (NI) of New York. A larger proportion of the 210 PD than 210 Parkinson-plus syndrome patients had kinetic tremor on examination (119 [56.7%] vs. 70 [33.3%], P < 0.001). Patients with PD were more likely to have a prior diagnosis of ET than were patients with Parkinson-plus syndromes (7.1% vs. 2.4%, OR 3.16, 95% CI 1.13-8.85, P = 0.02) and more likely to have a diagnosis of ET assigned by an NI neurologist (5.3% vs. 0.0%, OR 12.85, 95% CI 1.66-99.8, P = 0.001). Patients with PD were three to thirteen times more likely to have diagnoses of ET than were patients with Parkinson-plus syndromes. These data further confirm the link between ET and PD, and possibly, between ET and Lewy body disease.</div>
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<Abstract><AbstractText>Clinical literature suggests an association between essential tremor (ET) and Parkinson's disease (PD), and recent pathological studies describe Lewy bodies in some ET patients. If some ET were an expression of Lewy body disease, one could hypothesize that ET patients who develop parkinsonism would more likely develop PD (a Lewy body disease) than non-Lewy body forms of parkinsonism. The objective was to compare the proportions of patients with PD vs. Parkinson-plus syndromes who had diagnoses of ET. Retrospective chart review at the Neurological Institute (NI) of New York. A larger proportion of the 210 PD than 210 Parkinson-plus syndrome patients had kinetic tremor on examination (119 [56.7%] vs. 70 [33.3%], P < 0.001). Patients with PD were more likely to have a prior diagnosis of ET than were patients with Parkinson-plus syndromes (7.1% vs. 2.4%, OR 3.16, 95% CI 1.13-8.85, P = 0.02) and more likely to have a diagnosis of ET assigned by an NI neurologist (5.3% vs. 0.0%, OR 12.85, 95% CI 1.66-99.8, P = 0.001). Patients with PD were three to thirteen times more likely to have diagnoses of ET than were patients with Parkinson-plus syndromes. These data further confirm the link between ET and PD, and possibly, between ET and Lewy body disease.</AbstractText>
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	Movement Disorders (revue)
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Movement Disorders (revue)

Prevalence of essential tremor in patients with Parkinson's disease vs. Parkinson-plus syndromes.

Prevalence of essential tremor in patients with Parkinson's disease vs. Parkinson-plus syndromes.

Source :

English descriptors

Abstract

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Links to Exploration step

Le document en format XML

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Pour générer des pages wiki