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Published on: December 13, 2017
The overlap between Essential tremor and Parkinson disease
Musleh Algarni1, Alfonso Fasano2
1Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson's Disease, Toronto Western Hospital, UHN, Division of Neurology, University of Toronto, Toronto, Ontario, Canada.
Essential tremor (ET) and Parkinson's disease (PD) share overlapping features, complicating diagnosis. Research is ongoing to clarify the potential pathophysiological relationship between these common aging disorders.
Area of Science:
- Neurology
- Movement Disorders
Background:
- Essential tremor (ET) and Parkinson's disease (PD) are prevalent in aging populations.
- These disorders present overlapping clinical features, challenging differential diagnosis.
- A pathophysiological link between ET and PD has been previously suggested.
Purpose of the Study:
- To review current evidence regarding the relationship between ET and PD.
- To examine recent advances in tremor pathophysiology and nosology.
Main Methods:
- Systematic review of existing literature.
- Analysis of evidence supporting or refuting a link between ET and PD.
Main Results:
- Subtyping ET into early-onset and late-onset may aid in understanding its relationship with PD.
- Longitudinal studies of early-onset ET are needed to determine if it increases PD risk.
- Late-onset ET or ET-plus may represent an early, pre-diagnostic phase of PD.
Conclusions:
- Despite increasing literature suggesting an overlap, the exact relationship between ET and PD remains unclear.
- Further research is required to fully elucidate the connection between these two common neurological conditions.
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