Head tremor and pain in cervical dystonia

2021 ◽  
Author(s):  
Jeanne P. Vu ◽  
Ha Yeon Lee ◽  
Qiyu Chen ◽  
Elizabeth Cisneros ◽  
Richard L. Barbano ◽  
...  
Keyword(s):  
Cervical Dystonia ◽  
Head Tremor

scholarly journals Quantitative Assessment of Head Tremor in Patients with Essential Tremor and Cervical Dystonia by Using Inertial Sensors

Sensors ◽  
2019 ◽  
Vol 19 (19) ◽  
pp. 4246 ◽  
Author(s):  
Lazar Berbakov ◽  
Čarna Jovanović ◽  
Marina Svetel ◽  
Jelena Vasiljević ◽  
Goran Dimić ◽  
...  
Keyword(s):  
Essential Tremor ◽  
Cervical Dystonia ◽  
Inertial Sensors ◽  
Signal Amplitude ◽  
Peak Frequency ◽  
Dystonic Tremor ◽  
Head Tremor ◽  
Different Types ◽  
The Mean ◽  
Remote Health

Tremor is most common among the movement disabilities that affect older people, having a prevalence rate of 4.6% in the population older than 65 years. Despite this, distinguishing different types of tremors is clinically challenging, often leading to misdiagnosis. However, due to advances in microelectronics and wireless communication, it is now possible to easily monitor tremor in hospitals and even in home environments. In this paper, we propose an architecture of a system for remote health-care and one possible implementation of such system focused on head tremor monitoring. In particular, the aim of the study presented here was to test new tools for differentiating essential tremor from dystonic tremor. To that aim, we propose a number of temporal and spectral features that are calculated from measured gyroscope signals, and identify those that provide optimal differentiation between two groups. The mean signal amplitude feature results in sensitivity = 0.8537 and specificity = 0.8039 in distinguishing patients having cervical dystonia with or without tremor. In addition, mean signal amplitude was shown to be significantly higher in patients with essential tremor than in patients with cervical dystonia, whereas the mean peak frequency is not different between two groups.

scholarly journals Head tremor in patients with cervical dystonia: different outcome?

2008 ◽  
Vol 66 (4) ◽  
pp. 805-808 ◽  
Author(s):  
Clecio Godeiro-Junior ◽  
Andre C. Felicio ◽  
Patricia C. Aguiar ◽  
Vanderci Borges ◽  
Sonia M.A. Silva ◽  
...  
Keyword(s):  
Clinical Outcome ◽  
Treatment Response ◽  
Cervical Dystonia ◽  
Age At Onset ◽  
Demographic Parameters ◽  
Hand Tremor ◽  
Head Tremor ◽  
Significant Difference ◽  
Pre Treatment

OBJECTIVE: The association of cervical dystonia (CD) with other movement disorders have been already described, but data on clinical outcome regarding these patients are scant. The aim of this paper was to investigate whether patients with CD and head tremor (HT) would have a different outcome regarding to botulinum toxin type-A (BTX-A) treatment response and clinical and demographic parameters. METHOD: We retrospectively evaluated 118 medical charts of patients with CD and divided them into two groups: with (HT+) and without (HT-) head tremor. We compared the following clinical and demographic parameters: age at onset, disease duration, progression of symptoms, etiology, familial history, presence of hand tremor. We also analyzed the response to BTX-A according to Tsui score in both groups. RESULTS: The occurrence of head tremor in our sample was of 38.2%. The occurrence of postural hand tremor in the patients from the HT+ group was higher than in the HT- one (p=0.015) and if we compare BTX-A response in each group, we observe that patients with HT present a better outcome in a setting of longer follow-up. In HT+ group, Tsui score pre treatment was 10 (6-12.5) and after follow-up was 8 (5.5-10.5); p<0.001. In HT- group there was no significant difference 9 (7-12) in pre treatment and after follow-up; p=0.07. CONCLUSION: According to our data it seems that head tremor may influence the clinical outcome or treatment response with BTX-A in patients with CD.

scholarly journals Head tremor at disease onset: an ataxic phenotype of cervical dystonia

2019 ◽  
Vol 266 (8) ◽  
pp. 1844-1851 ◽  
Author(s):  
Aristide Merola ◽  
Alok K. Dwivedi ◽  
Aasef G. Shaikh ◽  
Tamour Khan Tareen ◽  
Gustavo A. Da Prat ◽  
...  
Keyword(s):  
Cervical Dystonia ◽  
Disease Onset ◽  
Head Tremor

Cervical Dystonia

2007 ◽  
Vol 20 (6) ◽  
pp. 449-457
Author(s):  
Khashayar Dashtipour ◽  
Mandana Barahimi ◽  
Samia Karkar
Keyword(s):  
Botulinum Toxin ◽  
Medical Therapy ◽  
Cervical Dystonia ◽  
Botulinum Toxin Injection ◽  
Treatment Options ◽  
The United States ◽  
Head Tremor ◽  
Abnormal Head ◽  
Geste Antagoniste ◽  
Deep Brain

Cervical dystonia, which is the most common form of focal dystonia, presents with sustained neck spasms, abnormal head posture, head tremor, and pain. One of the interesting and unique features of cervical dystonia is the geste antagoniste. There is not a well-described pathophysiology for cervical dystonia, but several hypotheses report involvement at the central and peripheral level. Treatment options include: oral medical therapy, botulinum toxin injection, and surgery. Oral medical therapy has limited efficacy in control of the symptoms of cervical dystonia. Two types of botulinum toxin, types A and B, are being used for treatment of cervical dystonia, with equivalent benefit. Surgery is an option when other treatments fail or become ineffective. The surgical procedures are brain lesioning, brain stimulation, and peripheral surgical intervention. Several trials are currently ongoing in the United States and Europe to evaluate the efficacy of deep brain surgery in cervical dystonia.

Long-Term Successful Outcome of Dystonic Head Tremor after Bilateral Deep Brain Stimulation of the Ventral Intermediate and Ventro-Oral Internus Nuclei: A Case Report and Literature Review of Dystonic Head Tremor

2021 ◽  
pp. 1-6
Author(s):  
Hayato Yamahata ◽  
Shiro Horisawa ◽  
Kenichi Hodotsuka ◽  
Takakazu Kawamata ◽  
Takaomi Taira
Keyword(s):  
Deep Brain Stimulation ◽  
Brain Stimulation ◽  
Cervical Dystonia ◽  
Successful Outcome ◽  
Treatment Target ◽  
Dystonic Tremor ◽  
Head Tremor ◽  
Deep Brain ◽  
Stimulation Of

Head tremor in patients with dystonia is referred to as dystonic tremor. During surgical treatment, numerous targets may be selected, including the internal segment of the globus pallidus and the ventral intermediate (Vim) nucleus; however, there is no consensus concerning the most effective treatment target. We report herein a case of dystonic head tremor in which improvement persisted for 5 years after deep brain stimulation (DBS) of the bilateral thalamic Vim and ventro-oral internus (Voi) nuclei. The patient, a 67-year-old woman, has a horizontal head tremor associated with cervical dystonia that had been resistant to drug treatment over 3 years. Immediately following surgery, dystonia and tremor symptoms had completely improved. Voice volume declined and dysarthria occurred but improved upon adjusting the stimulation conditions. Over 5 years, both head tremor and cervical dystonia have been completely controlled, and no other obvious complications have been observed. As the Voi nucleus receives pallidothalamic projections involved in dystonia and the Vim nucleus receives cerebellothalamic projections involved in tremors, stimulating these 2 nuclei with the same electrode appears reasonable in the treatment of dystonic tremor. This case suggests that Vim-Voi DBS may be effective for treating dystonic head tremor.

scholarly journals Secondary Cervical Dystonia and Titubatory Head Tremor

2018 ◽  
Vol 6 (2) ◽  
pp. 179-180
Author(s):  
Sanjay Pandey ◽  
Shruti Jain
Keyword(s):  
Cervical Dystonia ◽  
Head Tremor

scholarly journals Head Tremor in Cervical Dystonia

2000 ◽  
Vol 27 (2) ◽  
pp. 137-142 ◽  
Author(s):  
P.K. Pal ◽  
A. Samii ◽  
M. Schulzer ◽  
E. Mak ◽  
J.K.C. Tsui
Keyword(s):  
Family History ◽  
Genetic Association ◽  
Cervical Dystonia ◽  
Age At Onset ◽  
Positive Family History ◽  
Head Tilt ◽  
The Body ◽  
Hand Tremor ◽  
Head Tremor ◽  
History Of

ABSTRACT:Objective:To compare the clinical characteristics, natural history, and therapeutic outcome of patients with cervical dystonia (CD) with head tremor (HT+) and without head tremor (HT-).Methods:We prospectively evaluated 114 consecutive patients of CD over a 9-month period with a detailed questionnaire. Chi-square and t-tests were employed for statistical analysis.Results:Seventy-eight (68.4%) patients had head tremor and 27 of them (34.6%) had tremor as one of the first symptoms. Age at onset of symptoms were similar in HT+ and HT- groups; however there was a higher prevalence in women in the former group (66.7% vs. 41.7%; p=0.01). HT+ patients had more frequent positive family history of essential-like hand/head tremor (21.8% vs. 5.5%; p<0.05), associated neck pain (92.3% vs. 77.8%; p<0.05), and essential-like hand tremor (40% vs. 8.3%; p<0.001). They also appeared to have more frequent history of preceding head/neck trauma (14.1% vs. 8.3%), frequent head rotation (88.5% vs. 69.4%) and antecollis (12.8% vs. 5.5%) but less often head tilt (37.2% vs. 47.2%) and gestes antagonistes (60.2% vs. 75%) than the HT- patients; however these differences were not statistically significant. The frequency of prior psychiatric illnesses, the incidence of dystonias in other parts of the body, frequency of retrocollis and shoulder elevation, and spontaneous remission were similar in the two groups.Conclusions:Head tremor is common in CD and is more commonly associated with hand tremor and family history of tremor or other movement disorders. This supports a possible genetic association between CD and essential tremor (ET). Linkage studies are required to evaluate the genetic association between CD and ET.

scholarly journals Retrocollis, anterocollis or head tremor may predict the spreading of dystonic movements in primary cervical dystonia

2009 ◽  
Vol 67 (2b) ◽  
pp. 402-406 ◽  
Author(s):  
Clecio Godeiro-Junior ◽  
Andre Carvalho Felício ◽  
Patrícia Maria de Carvalho Aguiar ◽  
Vanderci Borges ◽  
Sonia Maria Azevedo Silva ◽  
...  
Keyword(s):  
Logistic Regression ◽  
Regression Model ◽  
Cervical Dystonia ◽  
Logistic Regression Model ◽  
Botulinum Toxin Type A ◽  
Botulinum Toxin Type ◽  
The Body ◽  
Clinical Predictors ◽  
Binary Logistic Regression Model ◽  
Head Tremor

BACKGROUND AND PURPOSE: Few studies have attempted to develop clinical predictors for cervical dystonia (CD) aiming at progression of the dystonic movement. METHOD: We retrospectively evaluated 73 patients with primary CD who underwent treatment with Botulinum toxin type-A (BTX-A). The patients were assembled in two groups according to the spread of dystonia during follow-up: spreading and non-spreading CD. We performed a binary logistic regression model using spreading of cervical dystonia as dependent variable aiming to find covariates which increase the risk of spreading. RESULTS: Our logistic regression model found the following covariates and their respective risk ratios: time of disease >18.5 months=2.4, retrocollis=1.9, anterocollis=1.8, head tremor=1.6. CONCLUSION: Time of disease >18.5 months, retrocollis, anterocollis and head tremor may predict spreading of dystonic movement to other regions of the body in CD patients.

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