Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique
Identifieur interne : 002B16 ( Main/Corpus ); précédent : 002B15; suivant : 002B17Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique
Auteurs : E. J. W. Van Someren ; W. A. Van Gool ; B. F. M. Vonk ; M. Mirmiran ; J. D. Speelman ; D. A. Bosch ; D. F. SwaabSource :
- Journal of the Neurological Sciences [ 0022-510X ] ; 1992.
Abstract
Tremor, e.g. in Parkinson patients, often shows large spontaneous fluctuations in severity over the day, to such an extent that a short observation is usually not sufficient to assess the overall severity or the effect of a treatment. Since momentary impressions of the tremor can thus be misleading, long-term ambulatory recordings would be helpful in the evaluation of severity and treatment effectiveness. As existing methods for long-term tremor registration have several shortcomings, a new method is proposed: an algorithm was designed to discriminate tremor from other movements and to describe the amount (i.e. the proportion of tremor or movements per time unit) as well as the intensity (i.e. average acceleration amplitude) of the two types of movement. In the evaluation of the severity of tremor both the amount and intensity of tremor episodes are of importance. The algorithm was tested on 24-h analog tape recordings of wrist-movement in 10 young and 10 aged controls, as well as in 8 patients with tremor - both before and after a tremor relieving thalamotomy. The algorithm scored movements as ‘tremor’ exclusively in patients prior to the operation. Fluctuations in tremor severity over the day were detected, and tremor could be discriminated from non-pathological movements. Moreover, following thalamotomy, motor slowing (bradykinesia) was detectable using this algorithm. Based on these test results, a miniaturized device in wrist-watch format is now being developed for long-term registrations.
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DOI: 10.1016/0022-510X(93)90148-R
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Vonk</name><affiliation><mods:affiliation>Vitatron Medical, Dieren, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Mirmiran, M" sort="Mirmiran, M" uniqKey="Mirmiran M" first="M." last="Mirmiran">M. Mirmiran</name><affiliation><mods:affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Speelman, J D" sort="Speelman, J D" uniqKey="Speelman J" first="J. D." last="Speelman">J. D. Speelman</name><affiliation><mods:affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</mods:affiliation></affiliation></author><author><name sortKey="Bosch, D A" sort="Bosch, D A" uniqKey="Bosch D" first="D. A." last="Bosch">D. A. 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Swaab</name><affiliation><mods:affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</mods:affiliation></affiliation></author></analytic><monogr></monogr><series><title level="j">Journal of the Neurological Sciences</title><title level="j" type="abbrev">JNS</title><idno type="ISSN">0022-510X</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1992">1992</date><biblScope unit="volume">117</biblScope><biblScope unit="issue">1–2</biblScope><biblScope unit="page" from="16">16</biblScope><biblScope unit="page" to="23">23</biblScope></imprint><idno type="ISSN">0022-510X</idno></series><idno type="istex">25ADCB82D565E060A659415900900694244AA087</idno><idno type="DOI">10.1016/0022-510X(93)90148-R</idno><idno type="PII">0022-510X(93)90148-R</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0022-510X</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Tremor, e.g. in Parkinson patients, often shows large spontaneous fluctuations in severity over the day, to such an extent that a short observation is usually not sufficient to assess the overall severity or the effect of a treatment. Since momentary impressions of the tremor can thus be misleading, long-term ambulatory recordings would be helpful in the evaluation of severity and treatment effectiveness. As existing methods for long-term tremor registration have several shortcomings, a new method is proposed: an algorithm was designed to discriminate tremor from other movements and to describe the amount (i.e. the proportion of tremor or movements per time unit) as well as the intensity (i.e. average acceleration amplitude) of the two types of movement. In the evaluation of the severity of tremor both the amount and intensity of tremor episodes are of importance. The algorithm was tested on 24-h analog tape recordings of wrist-movement in 10 young and 10 aged controls, as well as in 8 patients with tremor - both before and after a tremor relieving thalamotomy. The algorithm scored movements as ‘tremor’ exclusively in patients prior to the operation. Fluctuations in tremor severity over the day were detected, and tremor could be discriminated from non-pathological movements. Moreover, following thalamotomy, motor slowing (bradykinesia) was detectable using this algorithm. Based on these test results, a miniaturized device in wrist-watch format is now being developed for long-term registrations.</div></front></TEI><istex><corpusName>elsevier</corpusName><author><json:item><name>E.J.W. van Someren</name><affiliations><json:string>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>W.A. van Gool</name><affiliations><json:string>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>B.F.M. Vonk</name><affiliations><json:string>Vitatron Medical, Dieren, The Netherlands</json:string></affiliations></json:item><json:item><name>M. Mirmiran</name><affiliations><json:string>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>J.D. Speelman</name><affiliations><json:string>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>D.A. Bosch</name><affiliations><json:string>Department of Neurosurgery, Academic Medical Centre, Amsterdam, The Netherlands</json:string></affiliations></json:item><json:item><name>D.F. Swaab</name><affiliations><json:string>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</json:string></affiliations></json:item></author><subject><json:item><lang><json:string>eng</json:string></lang><value>Tremor</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Movement</value></json:item><json:item><lang><json:string>eng</json:string></lang><value>Ambulatory monitoring</value></json:item><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>Thalamotomy</value></json:item></subject><language><json:string>eng</json:string></language><abstract>Tremor, e.g. in Parkinson patients, often shows large spontaneous fluctuations in severity over the day, to such an extent that a short observation is usually not sufficient to assess the overall severity or the effect of a treatment. Since momentary impressions of the tremor can thus be misleading, long-term ambulatory recordings would be helpful in the evaluation of severity and treatment effectiveness. As existing methods for long-term tremor registration have several shortcomings, a new method is proposed: an algorithm was designed to discriminate tremor from other movements and to describe the amount (i.e. the proportion of tremor or movements per time unit) as well as the intensity (i.e. average acceleration amplitude) of the two types of movement. In the evaluation of the severity of tremor both the amount and intensity of tremor episodes are of importance. The algorithm was tested on 24-h analog tape recordings of wrist-movement in 10 young and 10 aged controls, as well as in 8 patients with tremor - both before and after a tremor relieving thalamotomy. The algorithm scored movements as ‘tremor’ exclusively in patients prior to the operation. Fluctuations in tremor severity over the day were detected, and tremor could be discriminated from non-pathological movements. Moreover, following thalamotomy, motor slowing (bradykinesia) was detectable using this algorithm. Based on these test results, a miniaturized device in wrist-watch format is now being developed for long-term registrations.</abstract><qualityIndicators><score>7.76</score><pdfVersion>1.2</pdfVersion><pdfPageSize>576 x 792 pts</pdfPageSize><refBibsNative>true</refBibsNative><keywordCount>5</keywordCount><abstractCharCount>1519</abstractCharCount><pdfWordCount>6842</pdfWordCount><pdfCharCount>29139</pdfCharCount><pdfPageCount>8</pdfPageCount><abstractWordCount>230</abstractWordCount></qualityIndicators><title>Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique</title><pii><json:string>0022-510X(93)90148-R</json:string></pii><genre><json:string>research-article</json:string></genre><host><volume>117</volume><pii><json:string>S0022-510X(00)X0286-9</json:string></pii><pages><last>23</last><first>16</first></pages><issn><json:string>0022-510X</json:string></issn><issue>1–2</issue><genre><json:string>Journal</json:string></genre><language><json:string>unknown</json:string></language><title>Journal of the Neurological Sciences</title><publicationDate>1993</publicationDate></host><categories><wos><json:string>CLINICAL NEUROLOGY</json:string><json:string>NEUROIMAGING</json:string><json:string>NEUROSCIENCES</json:string></wos></categories><publicationDate>1992</publicationDate><copyrightDate>1993</copyrightDate><doi><json:string>10.1016/0022-510X(93)90148-R</json:string></doi><id>25ADCB82D565E060A659415900900694244AA087</id><fulltext><json:item><original>true</original><mimetype>application/pdf</mimetype><extension>pdf</extension><uri>https://api.istex.fr/document/25ADCB82D565E060A659415900900694244AA087/fulltext/pdf</uri></json:item><json:item><original>true</original><mimetype>text/plain</mimetype><extension>txt</extension><uri>https://api.istex.fr/document/25ADCB82D565E060A659415900900694244AA087/fulltext/txt</uri></json:item><json:item><original>false</original><mimetype>application/zip</mimetype><extension>zip</extension><uri>https://api.istex.fr/document/25ADCB82D565E060A659415900900694244AA087/fulltext/zip</uri></json:item><istex:fulltextTEI uri="https://api.istex.fr/document/25ADCB82D565E060A659415900900694244AA087/fulltext/tei"><teiHeader><fileDesc><titleStmt><title level="a">Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique</title></titleStmt><publicationStmt><authority>ISTEX</authority><publisher>ELSEVIER</publisher><availability><p>ELSEVIER</p></availability><date>1993</date></publicationStmt><notesStmt><note type="content">Section title: Research article</note></notesStmt><sourceDesc><biblStruct type="inbook"><analytic><title level="a">Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique</title><author><persName><forename type="first">E.J.W.</forename><surname>van Someren</surname></persName><note type="correspondence"><p>Correspondence to: E.J.W. van Someren, Netherlands Institute for Brain Research, Meibergdreef 33, 1105 AZ Amsterdam, The Netherlands. Tel.: (+31-20)5665 500; Fax: (+31-20) 6918466.</p></note><affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</affiliation></author><author><persName><forename type="first">W.A.</forename><surname>van Gool</surname></persName><affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</affiliation></author><author><persName><forename type="first">B.F.M.</forename><surname>Vonk</surname></persName><affiliation>Vitatron Medical, Dieren, The Netherlands</affiliation></author><author><persName><forename type="first">M.</forename><surname>Mirmiran</surname></persName><affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</affiliation></author><author><persName><forename type="first">J.D.</forename><surname>Speelman</surname></persName><affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</affiliation></author><author><persName><forename type="first">D.A.</forename><surname>Bosch</surname></persName><affiliation>Department of Neurosurgery, Academic Medical Centre, Amsterdam, The Netherlands</affiliation></author><author><persName><forename type="first">D.F.</forename><surname>Swaab</surname></persName><affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</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)X0286-9</idno><imprint><publisher>ELSEVIER</publisher><date type="published" when="1992"></date><biblScope unit="volume">117</biblScope><biblScope unit="issue">1–2</biblScope><biblScope unit="page" from="16">16</biblScope><biblScope unit="page" to="23">23</biblScope></imprint></monogr><idno type="istex">25ADCB82D565E060A659415900900694244AA087</idno><idno type="DOI">10.1016/0022-510X(93)90148-R</idno><idno type="PII">0022-510X(93)90148-R</idno></biblStruct></sourceDesc></fileDesc><profileDesc><creation><date>1993</date></creation><langUsage><language ident="en">en</language></langUsage><abstract xml:lang="en"><p>Tremor, e.g. in Parkinson patients, often shows large spontaneous fluctuations in severity over the day, to such an extent that a short observation is usually not sufficient to assess the overall severity or the effect of a treatment. Since momentary impressions of the tremor can thus be misleading, long-term ambulatory recordings would be helpful in the evaluation of severity and treatment effectiveness. As existing methods for long-term tremor registration have several shortcomings, a new method is proposed: an algorithm was designed to discriminate tremor from other movements and to describe the amount (i.e. the proportion of tremor or movements per time unit) as well as the intensity (i.e. average acceleration amplitude) of the two types of movement. In the evaluation of the severity of tremor both the amount and intensity of tremor episodes are of importance. The algorithm was tested on 24-h analog tape recordings of wrist-movement in 10 young and 10 aged controls, as well as in 8 patients with tremor - both before and after a tremor relieving thalamotomy. The algorithm scored movements as ‘tremor’ exclusively in patients prior to the operation. Fluctuations in tremor severity over the day were detected, and tremor could be discriminated from non-pathological movements. Moreover, following thalamotomy, motor slowing (bradykinesia) was detectable using this algorithm. Based on these test results, a miniaturized device in wrist-watch format is now being developed for long-term registrations.</p></abstract><textClass><keywords scheme="keyword"><list><head>Keywords</head><item><term>Tremor</term></item><item><term>Movement</term></item><item><term>Ambulatory monitoring</term></item><item><term>Parkinson's disease</term></item><item><term>Thalamotomy</term></item></list></keywords></textClass></profileDesc><revisionDesc><change when="1992-12-08">Registration</change><change when="1992-12-04">Modified</change><change when="1992">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>9390148R</aid><ce:pii>0022-510X(93)90148-R</ce:pii><ce:doi>10.1016/0022-510X(93)90148-R</ce:doi><ce:copyright type="unknown" year="1993"></ce:copyright></item-info><head><ce:dochead><ce:textfn>Research article</ce:textfn></ce:dochead><ce:title>Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique</ce:title><ce:author-group><ce:author><ce:given-name>E.J.W.</ce:given-name><ce:surname>van Someren</ce:surname><ce:cross-ref refid="COR1"><ce:sup>1</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>W.A.</ce:given-name><ce:surname>van Gool</ce:surname><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>B.F.M.</ce:given-name><ce:surname>Vonk</ce:surname><ce:cross-ref refid="AFF4"><ce:sup>d</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>M.</ce:given-name><ce:surname>Mirmiran</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>J.D.</ce:given-name><ce:surname>Speelman</ce:surname><ce:cross-ref refid="AFF2"><ce:sup>b</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>D.A.</ce:given-name><ce:surname>Bosch</ce:surname><ce:cross-ref refid="AFF3"><ce:sup>c</ce:sup></ce:cross-ref></ce:author><ce:author><ce:given-name>D.F.</ce:given-name><ce:surname>Swaab</ce:surname><ce:cross-ref refid="AFF1"><ce:sup>a</ce:sup></ce:cross-ref></ce:author><ce:affiliation id="AFF1"><ce:label>a</ce:label><ce:textfn>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</ce:textfn></ce:affiliation><ce:affiliation id="AFF2"><ce:label>b</ce:label><ce:textfn>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</ce:textfn></ce:affiliation><ce:affiliation id="AFF3"><ce:label>c</ce:label><ce:textfn>Department of Neurosurgery, Academic Medical Centre, Amsterdam, The Netherlands</ce:textfn></ce:affiliation><ce:affiliation id="AFF4"><ce:label>d</ce:label><ce:textfn>Vitatron Medical, Dieren, The Netherlands</ce:textfn></ce:affiliation><ce:correspondence id="COR1"><ce:label>1</ce:label><ce:text>Correspondence to: E.J.W. van Someren, Netherlands Institute for Brain Research, Meibergdreef 33, 1105 AZ Amsterdam, The Netherlands. Tel.: (+31-20)5665 500; Fax: (+31-20) 6918466.</ce:text></ce:correspondence></ce:author-group><ce:date-received day="2" month="7" year="1992"></ce:date-received><ce:date-revised day="4" month="12" year="1992"></ce:date-revised><ce:date-accepted day="8" month="12" year="1992"></ce:date-accepted><ce:abstract><ce:section-title>Abstract</ce:section-title><ce:abstract-sec><ce:simple-para>Tremor, e.g. in Parkinson patients, often shows large spontaneous fluctuations in severity over the day, to such an extent that a short observation is usually not sufficient to assess the overall severity or the effect of a treatment. Since momentary impressions of the tremor can thus be misleading, long-term ambulatory recordings would be helpful in the evaluation of severity and treatment effectiveness. As existing methods for long-term tremor registration have several shortcomings, a new method is proposed: an algorithm was designed to discriminate tremor from other movements and to describe the amount (i.e. the proportion of tremor or movements per time unit) as well as the intensity (i.e. average acceleration amplitude) of the two types of movement. In the evaluation of the severity of tremor both the amount and intensity of tremor episodes are of importance. The algorithm was tested on 24-h analog tape recordings of wrist-movement in 10 young and 10 aged controls, as well as in 8 patients with tremor - both before and after a tremor relieving thalamotomy. The algorithm scored movements as ‘tremor’ exclusively in patients prior to the operation. Fluctuations in tremor severity over the day were detected, and tremor could be discriminated from non-pathological movements. Moreover, following thalamotomy, motor slowing (bradykinesia) was detectable using this algorithm. Based on these test results, a miniaturized device in wrist-watch format is now being developed for long-term registrations.</ce:simple-para></ce:abstract-sec></ce:abstract><ce:keywords><ce:section-title>Keywords</ce:section-title><ce:keyword><ce:text>Tremor</ce:text></ce:keyword><ce:keyword><ce:text>Movement</ce:text></ce:keyword><ce:keyword><ce:text>Ambulatory monitoring</ce:text></ce:keyword><ce:keyword><ce:text>Parkinson's disease</ce:text></ce:keyword><ce:keyword><ce:text>Thalamotomy</ce:text></ce:keyword></ce:keywords></head></converted-article></istex:document></istex:metadataXml><mods version="3.6"><titleInfo><title>Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique</title></titleInfo><titleInfo type="alternative" contentType="CDATA"><title>Ambulatory monitoring of tremor and other movements before and after thalamotomy: A new quantitative technique</title></titleInfo><name type="personal"><namePart type="given">E.J.W.</namePart><namePart type="family">van Someren</namePart><affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</affiliation><description>Correspondence to: E.J.W. van Someren, Netherlands Institute for Brain Research, Meibergdreef 33, 1105 AZ Amsterdam, The Netherlands. Tel.: (+31-20)5665 500; Fax: (+31-20) 6918466.</description><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">W.A.</namePart><namePart type="family">van Gool</namePart><affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">B.F.M.</namePart><namePart type="family">Vonk</namePart><affiliation>Vitatron Medical, Dieren, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">M.</namePart><namePart type="family">Mirmiran</namePart><affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">J.D.</namePart><namePart type="family">Speelman</namePart><affiliation>Department of Neurology, Academic Medical Centre, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.A.</namePart><namePart type="family">Bosch</namePart><affiliation>Department of Neurosurgery, Academic Medical Centre, Amsterdam, The Netherlands</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">D.F.</namePart><namePart type="family">Swaab</namePart><affiliation>Netherlands Institute for Brain Research, Amsterdam, The Netherlands</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">1992</dateIssued><dateValid encoding="w3cdtf">1992-12-08</dateValid><dateModified encoding="w3cdtf">1992-12-04</dateModified><copyrightDate encoding="w3cdtf">1993</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">Tremor, e.g. in Parkinson patients, often shows large spontaneous fluctuations in severity over the day, to such an extent that a short observation is usually not sufficient to assess the overall severity or the effect of a treatment. Since momentary impressions of the tremor can thus be misleading, long-term ambulatory recordings would be helpful in the evaluation of severity and treatment effectiveness. As existing methods for long-term tremor registration have several shortcomings, a new method is proposed: an algorithm was designed to discriminate tremor from other movements and to describe the amount (i.e. the proportion of tremor or movements per time unit) as well as the intensity (i.e. average acceleration amplitude) of the two types of movement. In the evaluation of the severity of tremor both the amount and intensity of tremor episodes are of importance. The algorithm was tested on 24-h analog tape recordings of wrist-movement in 10 young and 10 aged controls, as well as in 8 patients with tremor - both before and after a tremor relieving thalamotomy. The algorithm scored movements as ‘tremor’ exclusively in patients prior to the operation. Fluctuations in tremor severity over the day were detected, and tremor could be discriminated from non-pathological movements. Moreover, following thalamotomy, motor slowing (bradykinesia) was detectable using this algorithm. Based on these test results, a miniaturized device in wrist-watch format is now being developed for long-term registrations.</abstract><note type="content">Section title: Research article</note><subject><genre>Keywords</genre><topic>Tremor</topic><topic>Movement</topic><topic>Ambulatory monitoring</topic><topic>Parkinson's disease</topic><topic>Thalamotomy</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">199307</dateIssued></originInfo><identifier type="ISSN">0022-510X</identifier><identifier type="PII">S0022-510X(00)X0286-9</identifier><part><date>199307</date><detail type="volume"><number>117</number><caption>vol.</caption></detail><detail type="issue"><number>1–2</number><caption>no.</caption></detail><extent unit="issue pages"><start>1</start><end>251</end></extent><extent unit="pages"><start>16</start><end>23</end></extent></part></relatedItem><identifier type="istex">25ADCB82D565E060A659415900900694244AA087</identifier><identifier type="DOI">10.1016/0022-510X(93)90148-R</identifier><identifier type="PII">0022-510X(93)90148-R</identifier><recordInfo><recordContentSource>ELSEVIER</recordContentSource></recordInfo></mods></metadata><enrichments><istex:catWosTEI uri="https://api.istex.fr/document/25ADCB82D565E060A659415900900694244AA087/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><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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