caa a22 4500 445377658 CHVBK 20180317143008.0 cr unu---uuuuu 170323e20110201xx s 000 0 eng 10.1007/s00702-010-0533-1 doi (NATIONALLICENCE)springer-10.1007/s00702-010-0533-1 Tremor in hemifacial spasm patients [Elektronische Daten] [Monika Rudzińska, Magdalena Wójcik, Marcin Hartel, Andrzej Szczudlik] Tremor often accompanies dystonia and some other movement disorders. There are no reports describing tremor in patients with hemifacial spasm (HFS). The aim of the study was to assess the occurrence, type and parameters of tremor in HFS patients. The study included 47HFS patients (mean age: 58.6±10.7-years-old) and 48 healthy volunteers matched by sex and age. Tremor was assessed clinically and objectively using a triaxial accelerometer and EMG. A load test with 500g weight was performed in order to identify physiological tremor. The Clinical Global Impression-Severity scale (CGI-S) was used to assess the severity of HFS. Neurological examination revealed tremor in 19 patients and 5 control subjects, and the objective methods postural and kinetic hand tremor was confirmed. Among the patients we identified: one case of psychogenic tremor, two patients were diagnosed with essential tremor, six patients had essential tremor in one hand and enhanced physiologic tremor in the other, seven patients had essential tremor in both hands and three patients had physiological tremor in both hands. Five control subjects revealed enhanced the physiological tremor type. The occurrence of hand tremor was associated with higher severity of HFS, as assessed by CGI score. Tremor accompanies HFS in 40% of cases and 10% of control subjects. The aetiology of hand tremor in patients with HFS is unknown. However, it may be associated with compression of the tremor oscillator located in the medulla. Springer-Verlag, 2010 Hemifacial spasm nationallicence Tremor nationallicence Types of tremor nationallicence Rudzińska Monika Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland aut Wójcik Magdalena Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland aut Hartel Marcin Voxel Medical Diagnostic Centre, Zabrze, Poland aut Szczudlik Andrzej Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland aut Journal of Neural Transmission Springer Vienna 118/2(2011-02-01), 241-247 0300-9564 118:2<241 2011 118 702 https://doi.org/10.1007/s00702-010-0533-1 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s00702-010-0533-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rudzińska Monika Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland aut NATIONALLICENCE 700 1- Wójcik Magdalena Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland aut NATIONALLICENCE 700 1- Hartel Marcin Voxel Medical Diagnostic Centre, Zabrze, Poland aut NATIONALLICENCE 700 1- Szczudlik Andrzej Department of Neurology, Jagiellonian University Medical College, 3 Botaniczna street, 31-503, Kraków, Poland aut NATIONALLICENCE 773 0- Journal of Neural Transmission Springer Vienna 118/2(2011-02-01), 241-247 0300-9564 118:2<241 2011 118 702 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer