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05:54
MRI-guided Focused Ultrasound Thalamotomy for Patients with Medically-refractory Essential Tremor
Published on: December 13, 2017
Tremor in hemifacial spasm patients.
Monika Rudzińska1, Magdalena Wójcik, Marcin Hartel
1Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland. rudzinsk@cm-uj.krakow.pl
Journal of Neural Transmission (Vienna, Austria : 1996)
|December 17, 2010
Summary
Hand tremor was found in 40% of hemifacial spasm (HFS) patients, unlike other movement disorders. This tremor
Area of Science:
- Neurology
- Movement Disorders
Background:
- Tremor commonly co-occurs with dystonia and other movement disorders.
- No prior reports documented tremor in patients with hemifacial spasm (HFS).
Purpose of the Study:
- To investigate the occurrence, type, and characteristics of tremor in individuals with HFS.
- To compare tremor prevalence in HFS patients versus healthy controls.
Main Methods:
- Clinical and objective assessment of tremor using triaxial accelerometer and EMG.
- Inclusion of 47 HFS patients and 48 age/sex-matched healthy volunteers.
- Utilized a load test and Clinical Global Impression-Severity (CGI-S) scale.
Main Results:
- Tremor was detected in 40% of HFS patients and 10% of controls.
- Identified various tremor types in HFS patients, including essential and psychogenic tremor.
- Hand tremor occurrence correlated with increased HFS severity (CGI score).
Conclusions:
- Hand tremor is a notable comorbidity in a significant portion of HFS patients.
- The etiology of tremor in HFS patients remains unclear but may involve medullary compression.
- Further research is needed to understand the tremor-HFS relationship.
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