Resting tremor only: a variant of Parkinson's disease or of essential tremor
Identifieur interne : 001353 ( Main/Corpus ); précédent : 001352; suivant : 001354Resting tremor only: a variant of Parkinson's disease or of essential tremor
Auteurs : Ming-Hong Chang ; Tso-Wen Chang ; Ping-Hong Lai ; Chern-Guey SySource :
- Journal of the Neurological Sciences [ 0022-510X ] ; 1995.
Abstract
Resting tremor is one of the characteristic features of Parkinson's disease. However, there are a number of patients who typically have resting tremor alone for at least 5 years without development of other parkinsonian signs or symptoms. The etiology of an isolated resting tremor is still obscure. Recently, positron emission tomography was used to study these patients with isolated resting tremor, and demonstrated a markedly decreased striatal uptake of fluoro-dopa to the range of Parkinson's disease. These findings suggested the existence of a separate subtype, namely, tremulous Parkinson's disease with a manifestation of resting tremor alone. In order to confirm the existence of this subgroup of tremulous Parkinson's disease and further investigate its morphological changes and the usefulness of magnetic resonance imaging, we collected 5 patients who typically have resting tremor for at least 8 years in the absence of other features of Parkinson's disease. MRI was performed and the results of the images showed typical findings of Parkinson's disease with smudging or decreased distance between substantia nigra and red nucleus. Quantitative analysis also demonstrated a significant decrease of the above-noted distance when the resting tremor group was compared to the essential tremor group. Therefore, patients with an isolated resting tremor can have morphological abnormalities in addition to functional disturbances shown by positron emission tomography. To our knowledge, this is the first paper to report that resting tremor is a variant of Parkinson's disease rather than essential tremor, by using a double-blind method, with magnetic resonance imaging to support.
Url:
DOI: 10.1016/0022-510X(95)00033-X
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However, there are a number of patients who typically have resting tremor alone for at least 5 years without development of other parkinsonian signs or symptoms. The etiology of an isolated resting tremor is still obscure. Recently, positron emission tomography was used to study these patients with isolated resting tremor, and demonstrated a markedly decreased striatal uptake of fluoro-dopa to the range of Parkinson's disease. These findings suggested the existence of a separate subtype, namely, tremulous Parkinson's disease with a manifestation of resting tremor alone. In order to confirm the existence of this subgroup of tremulous Parkinson's disease and further investigate its morphological changes and the usefulness of magnetic resonance imaging, we collected 5 patients who typically have resting tremor for at least 8 years in the absence of other features of Parkinson's disease. MRI was performed and the results of the images showed typical findings of Parkinson's disease with smudging or decreased distance between substantia nigra and red nucleus. Quantitative analysis also demonstrated a significant decrease of the above-noted distance when the resting tremor group was compared to the essential tremor group. Therefore, patients with an isolated resting tremor can have morphological abnormalities in addition to functional disturbances shown by positron emission tomography. To our knowledge, this is the first paper to report that resting tremor is a variant of Parkinson's disease rather than essential tremor, by using a double-blind method, with magnetic resonance imaging to support.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>Ming-Hong Chang</name><affiliations><json:string>Section of Neurology, Veterans General Hospital-Kaohsiung, No 386, Ta-Chung 1st Road, Kaohsiung, Taiwan</json:string></affiliations></json:item><json:item><name>Tso-Wen Chang</name><affiliations><json:string>Department of Neurology, Tzu-Chi Buddhist General Hospital, Hualien, Taiwan</json:string></affiliations></json:item><json:item><name>Ping-Hong Lai</name><affiliations><json:string>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</json:string></affiliations></json:item><json:item><name>Chern-Guey Sy</name><affiliations><json:string>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Parkinson's disease</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Essential tremor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Magnetic resonance imaging</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Resting tremor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Substantia nigra</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Resting tremor is one of the characteristic features of Parkinson's disease. However, there are a number of patients who typically have resting tremor alone for at least 5 years without development of other parkinsonian signs or symptoms. The etiology of an isolated resting tremor is still obscure. Recently, positron emission tomography was used to study these patients with isolated resting tremor, and demonstrated a markedly decreased striatal uptake of fluoro-dopa to the range of Parkinson's disease. These findings suggested the existence of a separate subtype, namely, tremulous Parkinson's disease with a manifestation of resting tremor alone. In order to confirm the existence of this subgroup of tremulous Parkinson's disease and further investigate its morphological changes and the usefulness of magnetic resonance imaging, we collected 5 patients who typically have resting tremor for at least 8 years in the absence of other features of Parkinson's disease. MRI was performed and the results of the images showed typical findings of Parkinson's disease with smudging or decreased distance between substantia nigra and red nucleus. Quantitative analysis also demonstrated a significant decrease of the above-noted distance when the resting tremor group was compared to the essential tremor group. Therefore, patients with an isolated resting tremor can have morphological abnormalities in addition to functional disturbances shown by positron emission tomography. 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Tel.: 07-3461026.</p></note><affiliation>Section of Neurology, Veterans General Hospital-Kaohsiung, No 386, Ta-Chung 1st Road, Kaohsiung, Taiwan</affiliation></author><author><persName><forename type="first">Tso-Wen</forename><surname>Chang</surname></persName><affiliation>Department of Neurology, Tzu-Chi Buddhist General Hospital, Hualien, Taiwan</affiliation></author><author><persName><forename type="first">Ping-Hong</forename><surname>Lai</surname></persName><affiliation>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</affiliation></author><author><persName><forename type="first">Chern-Guey</forename><surname>Sy</surname></persName><affiliation>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</affiliation></author></analytic><monogr><title level="j">Journal of the Neurological Sciences</title><title level="j" type="abbrev">JNS</title><idno type="pISSN">0022-510X</idno><idno type="PII">S0022-510X(00)X0016-0</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1995"></date><biblScope unit="volume">130</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="215">215</biblScope><biblScope unit="page" to="219">219</biblScope></imprint></monogr><idno type="istex">A50F7227C0931F2D4C5C7C4AFC36D5E2CE01A524</idno><idno type="DOI">10.1016/0022-510X(95)00033-X</idno><idno type="PII">0022-510X(95)00033-X</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1995</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Resting tremor is one of the characteristic features of Parkinson's disease. However, there are a number of patients who typically have resting tremor alone for at least 5 years without development of other parkinsonian signs or symptoms. The etiology of an isolated resting tremor is still obscure. Recently, positron emission tomography was used to study these patients with isolated resting tremor, and demonstrated a markedly decreased striatal uptake of fluoro-dopa to the range of Parkinson's disease. These findings suggested the existence of a separate subtype, namely, tremulous Parkinson's disease with a manifestation of resting tremor alone. In order to confirm the existence of this subgroup of tremulous Parkinson's disease and further investigate its morphological changes and the usefulness of magnetic resonance imaging, we collected 5 patients who typically have resting tremor for at least 8 years in the absence of other features of Parkinson's disease. MRI was performed and the results of the images showed typical findings of Parkinson's disease with smudging or decreased distance between substantia nigra and red nucleus. Quantitative analysis also demonstrated a significant decrease of the above-noted distance when the resting tremor group was compared to the essential tremor group. Therefore, patients with an isolated resting tremor can have morphological abnormalities in addition to functional disturbances shown by positron emission tomography. To our knowledge, this is the first paper to report that resting tremor is a variant of Parkinson's disease rather than essential tremor, by using a double-blind method, with magnetic resonance imaging to support.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Parkinson's disease</term></item><item><term>Essential tremor</term></item><item><term>Magnetic resonance imaging</term></item><item><term>Resting tremor</term></item><item><term>Substantia nigra</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1995-01-22">Registration</change><change when="1995-01-03">Modified</change><change when="1995">Published</change></revisionDesc></teiHeader></istex:fulltextTEI></fulltext><metadata><istex:metadataXml wicri:clean="Elsevier, elements deleted: tail"><istex:xmlDeclaration>version="1.0" encoding="utf-8"</istex:xmlDeclaration><istex:docType PUBLIC="-//ES//DTD journal article DTD version 4.5.2//EN//XML" URI="art452.dtd" name="istex:docType"></istex:docType><istex:document><converted-article version="4.5.2" docsubtype="fla"><item-info><jid>JNS</jid><aid>9500033X</aid><ce:pii>0022-510X(95)00033-X</ce:pii><ce:doi>10.1016/0022-510X(95)00033-X</ce:doi><ce:copyright type="unknown" year="1995"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Case report</ce:textfn></ce:dochead><ce:title>Resting tremor only: a variant of Parkinson's disease or of essential tremor</ce:title><ce:author-group><ce:author><ce:given-name>Ming-Hong</ce:given-name><ce:surname>Chang</ce:surname><ce:cross-ref refid="COR1"><ce:sup>∗</ce:sup></ce:cross-ref><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Tso-Wen</ce:given-name><ce:surname>Chang</ce:surname><ce:cross-ref refid="AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Ping-Hong</ce:given-name><ce:surname>Lai</ce:surname><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>Chern-Guey</ce:given-name><ce:surname>Sy</ce:surname><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Section of Neurology, Veterans General Hospital-Kaohsiung, No 386, Ta-Chung 1st Road, Kaohsiung, Taiwan</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</ce:textfn></ce:affiliation><ce:affiliation id="AFF3"><ce:label>c</ce:label><ce:textfn>Department of Neurology, Tzu-Chi Buddhist General Hospital, Hualien, Taiwan</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>∗</ce:label><ce:text>Corresponding author. Tel.: 07-3461026.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="18" month="8" year="1994"></ce:date-received><ce:date-revised day="3" month="1" year="1995"></ce:date-revised><ce:date-accepted day="22" month="1" year="1995"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Resting tremor is one of the characteristic features of Parkinson's disease. However, there are a number of patients who typically have resting tremor alone for at least 5 years without development of other parkinsonian signs or symptoms. The etiology of an isolated resting tremor is still obscure. Recently, positron emission tomography was used to study these patients with isolated resting tremor, and demonstrated a markedly decreased striatal uptake of fluoro-dopa to the range of Parkinson's disease. These findings suggested the existence of a separate subtype, namely, tremulous Parkinson's disease with a manifestation of resting tremor alone. In order to confirm the existence of this subgroup of tremulous Parkinson's disease and further investigate its morphological changes and the usefulness of magnetic resonance imaging, we collected 5 patients who typically have resting tremor for at least 8 years in the absence of other features of Parkinson's disease. MRI was performed and the results of the images showed typical findings of Parkinson's disease with smudging or decreased distance between substantia nigra and red nucleus. Quantitative analysis also demonstrated a significant decrease of the above-noted distance when the resting tremor group was compared to the essential tremor group. Therefore, patients with an isolated resting tremor can have morphological abnormalities in addition to functional disturbances shown by positron emission tomography. To our knowledge, this is the first paper to report that resting tremor is a variant of Parkinson's disease rather than essential tremor, by using a double-blind method, with magnetic resonance imaging to support.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Parkinson's disease</ce:text></ce:keyword><ce:keyword><ce:text>Essential tremor</ce:text></ce:keyword><ce:keyword><ce:text>Magnetic resonance imaging</ce:text></ce:keyword><ce:keyword><ce:text>Resting tremor</ce:text></ce:keyword><ce:keyword><ce:text>Substantia nigra</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Resting tremor only: a variant of Parkinson's disease or of essential tremor</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Resting tremor only: a variant of Parkinson's disease or of essential tremor</title></titleInfo><name type="personal"><namePart type="given">Ming-Hong</namePart><namePart type="family">Chang</namePart><affiliation>Section of Neurology, Veterans General Hospital-Kaohsiung, No 386, Ta-Chung 1st Road, Kaohsiung, Taiwan</affiliation><description>Corresponding author. Tel.: 07-3461026.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Tso-Wen</namePart><namePart type="family">Chang</namePart><affiliation>Department of Neurology, Tzu-Chi Buddhist General Hospital, Hualien, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Ping-Hong</namePart><namePart type="family">Lai</namePart><affiliation>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Chern-Guey</namePart><namePart type="family">Sy</namePart><affiliation>Department of Radiology, Veterans General Hospital-Kaohsiung, Kaohsiung, Taiwan</affiliation><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="research-article" displayLabel="Full-length article"></genre><originInfo><publisher>ELSEVIER</publisher><dateIssued encoding="w3cdtf">1995</dateIssued><dateValid encoding="w3cdtf">1995-01-22</dateValid><dateModified encoding="w3cdtf">1995-01-03</dateModified><copyrightDate encoding="w3cdtf">1995</copyrightDate></originInfo><language><languageTerm type="code" authority="iso639-2b">eng</languageTerm><languageTerm type="code" authority="rfc3066">en</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType></physicalDescription><abstract lang="en">Resting tremor is one of the characteristic features of Parkinson's disease. However, there are a number of patients who typically have resting tremor alone for at least 5 years without development of other parkinsonian signs or symptoms. The etiology of an isolated resting tremor is still obscure. Recently, positron emission tomography was used to study these patients with isolated resting tremor, and demonstrated a markedly decreased striatal uptake of fluoro-dopa to the range of Parkinson's disease. These findings suggested the existence of a separate subtype, namely, tremulous Parkinson's disease with a manifestation of resting tremor alone. In order to confirm the existence of this subgroup of tremulous Parkinson's disease and further investigate its morphological changes and the usefulness of magnetic resonance imaging, we collected 5 patients who typically have resting tremor for at least 8 years in the absence of other features of Parkinson's disease. MRI was performed and the results of the images showed typical findings of Parkinson's disease with smudging or decreased distance between substantia nigra and red nucleus. Quantitative analysis also demonstrated a significant decrease of the above-noted distance when the resting tremor group was compared to the essential tremor group. Therefore, patients with an isolated resting tremor can have morphological abnormalities in addition to functional disturbances shown by positron emission tomography. To our knowledge, this is the first paper to report that resting tremor is a variant of Parkinson's disease rather than essential tremor, by using a double-blind method, with magnetic resonance imaging to support.</abstract><note type="content">Section title: Case report</note><subject><genre>Keywords</genre><topic>Parkinson's disease</topic><topic>Essential tremor</topic><topic>Magnetic resonance imaging</topic><topic>Resting tremor</topic><topic>Substantia nigra</topic></subject><relatedItem type="host"><titleInfo><title>Journal of the Neurological Sciences</title></titleInfo><titleInfo type="abbreviated"><title>JNS</title></titleInfo><genre type="Journal">journal</genre><originInfo><dateIssued encoding="w3cdtf">199506</dateIssued></originInfo><identifier type="ISSN">0022-510X</identifier><identifier type="PII">S0022-510X(00)X0016-0</identifier><part><date>199506</date><detail type="volume"><number>130</number><caption>vol.</caption></detail><detail type="issue"><number>2</number><caption>no.</caption></detail><extent unit="issue pages"><start>119</start><end>237</end></extent><extent unit="pages"><start>215</start><end>219</end></extent></part></relatedItem><identifier type="istex">A50F7227C0931F2D4C5C7C4AFC36D5E2CE01A524</identifier><identifier type="DOI">10.1016/0022-510X(95)00033-X</identifier><identifier type="PII">0022-510X(95)00033-X</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/A50F7227C0931F2D4C5C7C4AFC36D5E2CE01A524/enrichments/catWos"><teiHeader><profileDesc><textClass><classCode scheme="WOS">CLINICAL NEUROLOGY</classCode><classCode scheme="WOS">NEUROIMAGING</classCode><classCode scheme="WOS">NEUROSCIENCES</classCode></textClass></profileDesc></teiHeader></istex:catWosTEI></enrichments></istex></record>Pour manipuler ce document sous Unix (Dilib)
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