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Die neue Tremorklassifikation der International Parkinson and Movement Disorder Society

Update zu häufigen Tremores

The new tremor classification of the International Parkinson and Movement Disorder Society

Update on frequent tremors

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Zusammenfassung

Tremor ist eine der häufigsten Bewegungsstörungen. Die neue Klassifikation der Movement Disorder Society trennt Tremorsyndrome als sog. Achse-1-Symptomkonstellationen von der Ätiologie (Achse 2). Gleiche Tremorsyndrome können entsprechend mit unterschiedlichen Ursachen und umgekehrt kombiniert sein. Die verwendeten Termini und die damit wünschenswerte Sprache der medizinischen Kommunikation werden in dieser Klassifikation präzisiert. Häufige Tremorsyndrome wie der verstärkte physiologische Tremor, der dystone und der Parkinson-Tremor sowie die fokalen Tremores und die positions- und aufgabenspezifischen Tremores werden hinsichtlich Phänomenologie und aktueller Therapie zusammengefasst.

Abstract

Tremor is one of the most frequent movement disorders. The recently published new classification of the Movement Disorder Society separates the clinical description of tremor syndromes as so-called axis 1 symptom constellations from the etiologies of tremor (axis 2). The same tremor syndromes can therefore be combined with different causes and vice versa. The terminology used in this classification is precisely defined and thereby also the necessary language for medical communication. Frequent tremor syndromes, such as enhanced physiologic tremor, dystonic and parkinsonian tremor as well as focal tremors and task and position-specific tremors are discussed with respect to the phenomenology, and current therapy.

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Literatur

  1. Deuschl G, Bain P, Brin M (1998) Consensus statement of the movement disorder society on tremor. Ad hoc scientific committee. Mov Disord 13(Suppl 3):2–23

    PubMed  Google Scholar 

  2. Bhatia KPBP, Bajaj N, Elble RJ, Hallett M, Louis ED et al (2017) Consensus statement on the classification of tremors, from the Task Force on Tremor of the International Parkinson and Movement Disorder Society Movement Disorders. Mov Disord. https://doi.org/10.1002/mds.27121

    Google Scholar 

  3. Albanese A, Bhatia K, Bressman SB et al (2013) Phenomenology and classification of dystonia: a consensus update. Mov Disord 28(7):863–873

    Article  PubMed  PubMed Central  Google Scholar 

  4. Raethjen J, Austermann K, Witt K et al (2008) Provocation of Parkinsonian tremor. Mov Disord 23(7):1019–1023

    Article  PubMed  Google Scholar 

  5. Papengut F, Raethjen J, Binder A, Deuschl G (2013) Rest tremor suppression may separate essential from parkinsonian rest tremor. Parkinsonism Relat Disord 19(7):693–697

    Article  PubMed  Google Scholar 

  6. Erro R, Rubio-Agusti I, Saifee TA et al (2014) Rest and other types of tremor in adult-onset primary dystonia. J Neurol Neurosurg Psychiatr 85(9):965–968

    Article  Google Scholar 

  7. Defazio G, Gigante AF, Abbruzzese G et al (2013) Tremor in primary adult-onset dystonia: prevalence and associated clinical features. J Neurol Neurosurg Psychiatr 84(4):404–408

    Article  Google Scholar 

  8. Erro R, Stamelou M, Saifee TA et al (2014) Facial tremor in dystonia. Parkinsonism Relat Disord 20(8):924–925

    Article  PubMed  Google Scholar 

  9. Masuhr F, Wissel J, Muller J et al (2000) Quantification of sensory trick impact on tremor amplitude and frequency in 60 patients with head tremor. Mov Disord 15(5):960–964

    Article  CAS  PubMed  Google Scholar 

  10. Quinn NP, Schneider SA, Schwingenschuh P, Bhatia KP (2011) Tremor – some controversial aspects. Mov Disord 26(1):18–23

    Article  PubMed  Google Scholar 

  11. Schneider SA, Edwards MJ, Mir P et al (2007) Patients with adult-onset dystonic tremor resembling parkinsonian tremor have scans without evidence of dopaminergic deficit (SWEDDs). Mov Disord 22(15):2210–2215

    Article  PubMed  Google Scholar 

  12. Gigante AF, Berardelli A, Defazio G (2016) Rest tremor in idiopathic adult-onset dystonia. Eur J Neurol 23(5):935–939

    Article  CAS  PubMed  Google Scholar 

  13. Kagi G, Schwingenschuh P, Bhatia KP (2008) Arm swing is reduced in idiopathic cervical dystonia. Mov Disord 23(12):1784–1787

    Article  PubMed  Google Scholar 

  14. Defazio G, Conte A, Gigante AF et al (2015) Is tremor in dystonia a phenotypic feature of dystonia? Neurology 84(10):1053–1059

    Article  PubMed  Google Scholar 

  15. Antelmi E, Di Stasio F, Rocchi L et al (2016) Impaired eye blink classical conditioning distinguishes dystonic patients with and without tremor. Parkinsonism Relat Disord 31:23–27

    Article  CAS  PubMed  Google Scholar 

  16. Fasano A, Bove F, Lang AE (2014) The treatment of dystonic tremor: a systematic review. J Neurol Neurosurg Psychiatr 85(7):759–769

    Article  Google Scholar 

  17. Hedera P, Phibbs FT, Dolhun R et al (2013) Surgical targets for dystonic tremor: considerations between the globus pallidus and ventral intermediate thalamic nucleus. Parkinsonism Relat Disord 19(7):684–686

    Article  PubMed  Google Scholar 

  18. Albanese A, Sorbo FD (2016) Dystonia and tremor: the clinical syndromes with isolated tremor. Tremor Other Hyperkinet Mov (N Y) 6:319

    Google Scholar 

  19. Xiromerisiou G, Houlden H, Scarmeas N et al (2012) THAP1 mutations and dystonia phenotypes: genotype phenotype correlations. Mov Disord 27(10):1290–1294

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  20. Stamelou M, Charlesworth G, Cordivari C et al (2014) The phenotypic spectrum of DYT24 due to ANO3 mutations. Mov Disord 29(7):928–934

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  21. Conte A, Ferrazzano G, Manzo N et al (2015) Somatosensory temporal discrimination in essential tremor and isolated head and voice tremors. Mov Disord 30(6):822–827

    Article  PubMed  Google Scholar 

  22. Selikhova M, Kempster PA, Revesz T et al (2013) Neuropathological findings in benign tremulous parkinsonism. Mov Disord 28(2):145–152

    Article  PubMed  Google Scholar 

  23. Hirsch EC, Mouatt A, Faucheux B et al (1992) Dopamine, tremor, and Parkinson’s disease. Lancet 340(8811):125–126

    Article  CAS  PubMed  Google Scholar 

  24. Qamhawi Z, Towey D, Shah B et al (2015) Clinical correlates of raphe serotonergic dysfunction in early Parkinson’s disease. Brain 138(Pt 10):2964–2973

    Article  PubMed  Google Scholar 

  25. Loane C, Wu K, Bain P et al (2013) Serotonergic loss in motor circuitries correlates with severity of action-postural tremor in PD. Neurology 80(20):1850–1855

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  26. Deuschl G, Agid Y (2013) Subthalamic neurostimulation for Parkinson’s disease with early fluctuations: balancing the risks and benefits. Lancet Neurol 12(10):1025–1034

    Article  PubMed  Google Scholar 

  27. Fasano A, Llinas M, Munhoz RP et al (2017) MRI-guided focused ultrasound thalamotomy in non-ET tremor syndromes. Neurology 89(8):771–775

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Klinik für Neurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel, Christian-Albrechts-Universität zu Kiel, Arnold-Heller Str. 3, 24105, Kiel, Deutschland

    F. Gövert, J. Becktepe & G. Deuschl

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  1. F. Gövert
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  2. J. Becktepe
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  3. G. Deuschl
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Correspondence to F. Gövert.

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Interessenkonflikt

F. Gövert, J. Becktepe und G. Deuschl geben an, dass kein Interessenkonflikt besteht.

Dieser Beitrag beinhaltet keine von den Autoren durchgeführten Studien an Menschen oder Tieren.

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Gövert, F., Becktepe, J. & Deuschl, G. Die neue Tremorklassifikation der International Parkinson and Movement Disorder Society. Nervenarzt 89, 376–385 (2018). https://doi.org/10.1007/s00115-018-0489-1

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  • DOI: https://doi.org/10.1007/s00115-018-0489-1

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