Cortical involvement in the generation of essential tremor. 2007

Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
Dept. of Neurology, University of Kiel, 24105 Kiel, Germany.

Conflicting results on the existence of tremor-related cortical activity in essential tremor (ET) have raised questions on the role of the cortex in tremor generation. Here we attempt to address these issues. We recorded 64 channel surface EEGs and EMGs from forearm muscles in 15 patients with definite ET. EEG and EMG power spectra, relative power of the rhythmic EMG activity, relative EEG power at the tremor frequency, and EEG-EMG and EEG-EEG coherence were calculated and their dynamics over time explored. Corticomuscular delay was studied using a new method for narrow-band coherent signals. Corticomuscular coherence in the contralateral central region at the tremor frequency was present in all patients in recordings with a relative tremor EMG power exceeding a certain level. However, the coherence was lost intermittently even with tremors far above this level. Physiological 15- to 30-Hz coherence was found consistently in 11 patients with significantly weaker EMG activity in this frequency range. A more frontal (mesial) hot spot was also intermittently coupled with the tremor and the central hot spot in five patients. Corticomuscular delays were compatible with transmission in fast corticospinal pathways and feedback of the tremor signal. Thus the tremor rhythm is intermittently relayed only in different cortical motor areas. We hypothesize that tremor oscillations build up in different subcortical and subcortico-cortical circuits only temporarily entraining each other.

UI MeSH Term Description Entries
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D011930 Reaction Time The time from the onset of a stimulus until a response is observed. Response Latency,Response Speed,Response Time,Latency, Response,Reaction Times,Response Latencies,Response Times,Speed, Response,Speeds, Response
D001931 Brain Mapping Imaging techniques used to colocalize sites of brain functions or physiological activity with brain structures. Brain Electrical Activity Mapping,Functional Cerebral Localization,Topographic Brain Mapping,Brain Mapping, Topographic,Functional Cerebral Localizations,Mapping, Brain,Mapping, Topographic Brain
D002540 Cerebral Cortex The thin layer of GRAY MATTER on the surface of the CEREBRAL HEMISPHERES that develops from the TELENCEPHALON and folds into gyri and sulci. It reaches its highest development in humans and is responsible for intellectual faculties and higher mental functions. Allocortex,Archipallium,Cortex Cerebri,Cortical Plate,Paleocortex,Periallocortex,Allocortices,Archipalliums,Cerebral Cortices,Cortex Cerebrus,Cortex, Cerebral,Cortical Plates,Paleocortices,Periallocortices,Plate, Cortical
D004558 Electric Stimulation Use of electric potential or currents to elicit biological responses. Stimulation, Electric,Electrical Stimulation,Electric Stimulations,Electrical Stimulations,Stimulation, Electrical,Stimulations, Electric,Stimulations, Electrical
D004569 Electroencephalography Recording of electric currents developed in the brain by means of electrodes applied to the scalp, to the surface of the brain, or placed within the substance of the brain. EEG,Electroencephalogram,Electroencephalograms
D004576 Electromyography Recording of the changes in electric potential of muscle by means of surface or needle electrodes. Electromyogram,Surface Electromyography,Electromyograms,Electromyographies,Electromyographies, Surface,Electromyography, Surface,Surface Electromyographies
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man

Related Publications

Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
November 2017, Journal of neurophysiology,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
August 2023, Journal of neurology,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
February 2001, Lancet (London, England),
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
September 2003, Electromyography and clinical neurophysiology,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
August 2006, Movement disorders : official journal of the Movement Disorder Society,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
August 2021, Clinical neurophysiology : official journal of the International Federation of Clinical Neurophysiology,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
October 1998, Muscle & nerve,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
February 2006, Movement disorders : official journal of the Movement Disorder Society,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
October 2025, Arquivos de neuro-psiquiatria,
Jan Raethjen, and R B Govindan, and Florian Kopper, and M Muthuraman, and Günther Deuschl
August 2006, Movement disorders : official journal of the Movement Disorder Society,
Copied contents to your clipboard!