Tremorography in the clinical practice
https://doi.org/10.17650/2222-8721-2019-9-4-61-72
Abstract
Tremor is the most common type of movement disorders. In practice this differential diagnosis of hyperkinesis is diagnosed clinically and the use of additional methods of objective assessment of tremor increases the accuracy of diagnosis. The use of paraclinical methods of objective assessment of tremor improves the accuracy of diagnosis. Comparison of the neurophysiological parameters of tremor with clinical characteristics has a high diagnostic value, which justifies its use in the routine practice of neurologists. The purpose of the review is to analysis basic electrophysiological characteristics of pathological tremor, as well as the presentation of the material of its own observation.
About the Authors
T. G. GovorovaRussian Federation
27 Oyunsky St., Yakutsk 677013
T. E. Popova
Russian Federation
4 Sergellichsky St., Yakutsk 677019; 27 Oyunsky St., Yakutsk 677013
A. A. Tappakhov
Russian Federation
4 Sergellichsky St., Yakutsk 677019; 27 Oyunsky St., Yakutsk 677013
References
1. Bhatia K.P., Bain P., Bajaj N. et al. Tremor Task Force of the International Parkinson and Movement Disorder Society. Consensus Statement on the classification of tremors. from the task force on tremor of the International Parkinson and Movement Disorder Society. Mov Disord 2018;33(1):75–87. PMID: 29193359. DOI: 10.1002/mds.27121.
2. Ivanova-Smolenskaya I.A. Shivering hyperkinesis. Guidelines for diagnosis and treatment. Moscow: MEDpress-inform, 2002. P. 495–502. (In Russ.)
3. Golubev V.L. Tremor. Nevrologicheskiy zhurnal = Neurological journal 2003;2:4–11. (In Russ.)
4. Ivanova E.O., Ivanova-Smolenskaya I.A., Illarioshkin S.N. Tremor: patogenesis, clinical and therapie. Nevrologicheskiy zhurnal = Neurological journal 2014;18(5):4–12. (In Russ.)
5. Illarioshkin S.N., Ivanova-Smolenskaya I.A. Quivering Hyperkinesis: A guide for physicians (“Motion Disorders” Series). Moscow: “Atmosphere” Publishing Holding, 2011. 360 p. (In Russ.)
6. Deuschl G., Raethjen J., Lindemann M. et al. The pathophysiology of tremor. Muscle Nerve 2001;24(6):716–35. PMID: 11360255. DOI: 10.1002/mus.1063.
7. Lakie M., Walsh E.G., Wright G.W. Passive mechanical properties of the wrist and physiological tremor. J Neurol. Neurosurg Psychiatry 1986;49(6):669–76. PMID: 3734824. DOI: 10.1136/jnnp.49.6.669.
8. Elble R.J. Central mechanisms of tremor. J Clin Neurophysiol 1996;13(2): 133–44. PMID: 8849968. DOI: 10.1097/00004691-199603000-00004.
9. McAuley J.H. Physiological and pathological tremors and rhythmic central motor control. Brain 2000;123(8):1545–67. PMID: 10908186. DOI: 10.1093/brain/123.8.1545.
10. Van der Stouwe A.M., Eltinga J.W., van der Hoevena J.H. et al. How typical are “typical” tremor characteristics? Sensitivity and specificity of five tremor phenomena. Parkinsonism Relat Disord 2016;30:23–8. PMID: 27346607. DOI: 10.1016/j.parkreldis.2016.06.008.
11. Levin O.S. Tremor. Spravochnik poliklinicheskogo vracha = Outpatient Handbook 2017;4:51–6. (In Russ.)
12. Wenning G.K., Kiechl S., Seppi K. et al. Prevalence of movement disorders in men and women aged 50–89 years (Bruneck Study cohort): a population-based study. Lancet Neurol Elsevier 2005;4(12):815–20. PMID: 16297839. DOI: 10.1016/S1474-4422(05)70226-X.
13. Ivanova E.O. Clinical and neurophysiological analysis of tremor hyperkinesis in essential tremor and Parkinson’s disease. Abstract. dis. … сand. med. sciences. Moscow, 2014. (In Russ.)
14. Ivanova E.O., Fedin P.A., Brutyan A.G. et al. Clinical and electrophysiological analysis of tremulous hyperkinesis in essential tremor and Parkinson’s disease. Nevrologicheskiy zhurnal = Neurological journal 2013;5:21–6. (In Russ.)
15. Ivanova-Smolenskaya I.A., Karabanov A.V., Chervyakov A.V. et al. Modern instrumental methods of recording tremors. Novye tekhnologii = New technologies 2011;2:17–23. (In Russ.)
16. Mansur P.H., Cury L.K., Andrade A.O. et al. A review on techniques for tremor recording and quantification. Crit Rev Biomed Eng 2007;35(5):343–62. PMID: 19392642. DOI: 10.1615/critrevbiomedeng.v35.i5.10.
17. Gironell A., Kulisevsky J., Pascual-Sedano B. et al. Routine neurophysiologic tremor analysis as a diagnostic tool for essential tremor: a prospective study. J Clin Neurophysiol 2004;21(6):446–50. PMID: 15622132. DOI: 10.1097/00004691-200411000-00009.
18. Nisticò R., Pirritano D., Salsone, M. et al. Synchronous pattern distinguishes resting tremor associated with essential tremor from rest tremor of Parkinson’s disease. Parkinsonism Relat Disord 2011;17(1):30–3. PMID: 21071257. DOI: 10.1016/j.parkreldis.2010.10.006.
19. Farkas Z., Csillik A., Szirmai I. et al. Asymmetry of tremor intensity and frequency in Parkinson’s disease and essential tremor. Parkinsonism Relat. Disord 2006;12(1):49–55. PMID: 16271493. DOI: 10.1016/j.parkreldis.2005.07.008.
20. Kandel’ E.I., Andreeva E.A. Smirnova S.N. et al. The study of the pathogenesis of tremor in parkinsonism by spectral analysis of the EMG envelope using a computer. Zhurnal nevropatoljgii i psihiatrii = Journal of neuropathology and psychiatry 1986;7:970–5. (In Russ.)
21. Raethjen J., Lindemann M., Schmaljohann H. et al. Multiple oscillators are causing parkinsonian and essential tremor. Mov Disord 2000;15(1):84–94. PMID: 10634246. DOI: 10.1002/1531-8257(200001)-15:1<84::aid-mds1014>3.0.co;2-k.
22. Boroojerdi B., Ferbert A., Foltys H. Evidence for a non-orthostatic origin of orthostatic tremor. J Neurol Neurosurg Psychiatry 1999;66(3):284–8. PMID: 10084525. DOI: 10.1136/jnnp.66.3.284.
23. Milanov I. Electromyographic differentiation of tremors. Clin Neurophysiol 2001;112(9):1626–32. PMID: 11514245. DOI: 10.1016/s1388-2457(01)00629-0.
24. Deuschl G., Lucking C.H., Schenck E. Essential tremor: electrophysiological and pharmacological evidence for a subdivision. J Neurol Neurosurg Psychiatry 1987;50(11):1435–41. PMID: 3694203. DOI: 10.1136/jnnp.50.11.1435.
25. Akbostanci M.C., Ulkatan S., Yigit A. et al. Difference of disability between electrophysiologic subgroups of essential tremor. Can J Neurol Sci 2000;27(1): 60–4. PMID: 10676590. DOI: 10.1017/s0317167100051994.
26. Grimaldi G., Manto M. Tremor: from pathogenesis to treatment. San Rafael: CA Morgan&Claypool, 2008.
27. Cassim F., Derambure P., Defebvre L. et al. Exploration neurophysiologique des tremblements. Neurophysiol Clin Neurophysiol 2000;30(2):81–96. PMID: 10812577. DOI: 10.1016/s0987-7053(00)00060-5.
28. Deuschl G., Elble R.J. The pathophysiology of essential tremor. Neurology 2000;54(11):14–20. PMID: 10854347. DOI: 10.1016/s1474-4422(10)70322-7.
29. Jain S., Lo S., Louis E.D. Common misdiagnosis of a common neurological disorder. Arch Neurol 2006;63:1100–4. PMID: 16908735. DOI: 10.1001/archneur.63.8.1100.
30. Dalvi A., Premkumar A. Tremor: etiology, phenomenology, and clinical features. Disease-a-Month 2011;57(3):109–26. PMID: 21447420. DOI: 10.1016/j.disamonth.2011.02.004.
31. Ure R.J., Sanveer D., Lang A.E. et al. Unusual tremor syndromes: know in order to recognise. J Neurol Neurosurg Psychiatry 2016;87(11):1191–203. PMID: 26985048. DOI: 10.1136/jnnp-2015-311693.
32. Morgan J.C., Kurek J.C., Davis J.A. et al. Insights into Pathophysiology from Medication-induced Tremor. Tremor Other Hyperkinet Mov (N.Y.) 2017;7:442. PMID: 29204312. DOI: 10.7916/D8FJ2V9Q.
33. Elble R.J., Higgins C., Elble S. Electrophysiologic transition from physiologic tremor to essential tremor. Mov Disord 2005;20(8):1038–42. PMID: 15852370. DOI: 10.1002/mds.20487.
34. Rajput A.H., Rozdilsky B., Ang L. et al. Significance of parkinsonian manifestations in essential tremor. Can J Neurol Sci 1993;20(2):114–7. PMID: 8334571. DOI: 10.1017/s031716710004765x.
35. Jankovic J., Schwartz K.S., Ondo W. Re-emergent tremor of Parkinson’s disease. J Neurol Neurosurg Psychiatry 1999;67(5): 646–50. PMID: 10519872. DOI: 10.1136/jnnp.67.5.646.
36. Grosset D.G. Long duration asymmetric postural tremor in the development of Parkinson’s disease. J Neurol Neurosurg Psychiatry 2005;76(1):9–9. PMID: 15607986. DOI: 10.1136/jnnp.2004.053116.
37. Pradhan S.D., Brewer B.R., Carvell G.E. et al. Assessment of fine motor control in individuals with Parkinson’s disease using force tracking with a secondary cognitive task. J Neurol Phys Ther 2010;34(1):32–40. PMID: 20212366. DOI: 10.1097/NPT.0b013e3181d055a6.
38. Masuhr F., Wissel J., Müller J. et al. Quantification of sensory trick impact on tremor amplitude and frequency in 60 patients with head tremor. Mov Disord 2000;15(5):960–4. PMID: 11009205. DOI: 10.1002/1531-8257(200009)15:5<960::aid-mds1029>3.0.co;2-g.
39. Albanese A., Bhatia K., Bressman S.B. et al. Phenomenology and classification of dystonia: a consensus update. Mov Disord 2013;28(7):863–73. PMID: 23649720. DOI: 10.1002/mds.25475.
40. Gücüyener K., Serdaroğlu A., Bideci A. et al. Tremor and myoclonus heralding Hashimoto’s encephalopathy. J Pediatr Endocrinol Metab;13(8):1137–41. PMID: 11085193. DOI: 10.1515/jpem.2000.13.8.1137.
41. Walters A.S., Hening W.A. Noise-induced psychogenic tremor associated with posttraumatic stress disorder. Mov Disord 1992;7(4):333–8. PMID: 1484527. DOI: 10.1002/mds.870070406.
42. Ivanova E.O., Illarioshkin S.N. Clinical and neurophysiological features of psychogenic tremor. Medica mente. Lechim s umom = Treat wisely 2017;3(3):14–7. (In Russ.)
43. Gupta A., Lang A.E. Psychogenic movement disorders. Curr Opin Neurol 2009;22(4):430–6. PMID: 19542886. DOI:10.1097/WCO.0b013e32832dc169.
44. Zeuner K.E., Shoge R.O., Goldstein S.R. et al. Accelerometry to distinguish psychogenic from essential or parkinsonian tremor. Neurology 2003;61(4):548–50. PMID: 12939436. DOI: 10.1212/01.wnl.0000076183.34915.cd.
45. Raethjen J., Kopper F., Govindan R.B. et al. Two different pathogenetic mechanisms in psychogenic tremor. Neurology 2004;63(5):812–5. PMID: 15365128. DOI: 10.1212/01.wnl.0000137012.35029.6b.
46. Hassan A., Ahlskog J.E., Matsumoto J.Y. et al. Orthostatic tremor: clinical, electrophysiologic, and treatment findings in 184 patients. Neurology 2016;86(5):458–64. PMID: 26747880. DOI: 10.1212/WNL.0000000000002328.
47. Kobylecki C., Silverdale M.A., Dick J.P. et al. Dystonia associated with idiopathic slow orthostatic tremor. Tremor Other Hyperkinet Mov (N.Y.) 2015;5:351. DOI: 10.1016/j.parkreldis.2016.06.008.
Review
For citations:
Govorova T.G., Popova T.E., Tappakhov A.A. Tremorography in the clinical practice. Neuromuscular Diseases. 2019;9(4):61-72. (In Russ.) https://doi.org/10.17650/2222-8721-2019-9-4-61-72