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Dystonic tremor.

G Deuschl1

  • 1Department of Neurology, Christian-Albrechts-University Kiel, Germany. g.deuschl@neurologie.uni-kiel.de

Revue Neurologique
|November 15, 2003
PubMed
Summary
This summary is machine-generated.

Dystonic tremor, a poorly defined condition, occurs with dystonia and may precede its clear signs. Diagnostic criteria and potential pathophysiology involving reduced inhibition are discussed.

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Area of Science:

  • Neurology
  • Movement Disorders

Background:

  • Dystonic tremor is an emerging clinical entity.
  • Its classification is challenging, especially when it precedes overt dystonia.

Purpose of the Study:

  • To define dystonic tremor.
  • To discuss its classification in various dystonia types.
  • To explore diagnostic criteria and pathophysiology.

Main Methods:

  • Literature review and clinical observation synthesis.
  • Analysis of diagnostic challenges in primary and secondary dystonia.
  • Discussion of potential pathophysiological mechanisms.

Main Results:

  • Dystonic tremor can occur in generalized, segmental, and focal dystonias.

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  • It may precede clear dystonic symptoms, complicating classification.
  • Diagnostic aids include tremor characteristics and response to treatment.

    • Conclusions:

    • Dystonic tremor requires clear diagnostic criteria for accurate classification.
    • Pathophysiology may involve impaired reciprocal inhibition.
    • Further research is needed to understand its mechanisms.