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Clinical Classification of Borderline Cases in the Family Study of Essential Tremor: An Analysis of Phenotypic Features Cover

Clinical Classification of Borderline Cases in the Family Study of Essential Tremor: An Analysis of Phenotypic Features

Open Access
|Feb 2014

Figures & Tables

tre-04-220-4902-1-g001.jpg
Figure 1

Total Tremor Score (y-Axis) by Age (x-Axis) Across the Three Diagnostic Groups.

Essential tremor (ET), green diamonds; borderline ET, blue squares, and normals, red circles. A total tremor score ≥10 (horizontal line) separated the borderline ET cases from normals with a sensitivity of 77.8% and a specificity of 94.7% (correct classification, 84.7%). One borderline ET did not have a total tremor score and two others had identical total tremor scores and ages.

Table 1

Clinical and Demographic Characteristics of Enrollees

CharacteristicET (N = 160)Borderline ET (N = 28)Normal (N = 19)Significance (p)
Age (years)60.0 ±18.0*48.0±12.549.3±17.9<0.0011
Female gender82 (51.3)*16 (57.1)15 (78.9)0.072
Education (years)16.3±3.716.6±2.016.5±3.50.901
Tremor duration (years)32.8±19.317.8±12.8Not applicable<0.0011
Relationship<0.0012
Proband50 (31.3)*2 (7.1)0 (0.0)
Child37 (23.1)18 (64.3)8 (42.1)
Sibling38 (23.8)5 (17.9)5 (26.3)
Other35 (21.9)3 (10.7)6 (31.6)
“Other people tell me that I have tremor”126 (78.8)**12 (42.9)***3 (15.8)<0.0012
“I sometimes have tremor that I can't control”154 (96.3)**21 (75.0)***8 (42.1)<0.0012
Total tremor score20.1±5.2**11.4±2.6*7.3±1.8<0.0011
Spiral axis score2.2±1.3 (2.0)**1.1 ± 1.0 (1.0)***0.4 ± 0.5 (0.0)<0.0013
Any kinetic tremor score ≥1.5160 (100)**27 (96.4)**10 (52.6)<0.0012
Any kinetic tremor score ≥1.5 in dominant arm157 (98.1)**25 (89.3)**7 (36.8)<0.0012
Spiral score ≥1.5126 (78.8)**8 (28.6)*0 (0.0)<0.0012
Rest tremor16 (10.0)0 (0.0)0 (0.0)0.082
Head tremor72 (45.0)**4 (14.3)***0 (0.0)<0.0012
Voice tremor26 (16.4)***1 (3.6)0 (0.0)<0.0012
Intention tremor62 (38.8)*1 (3.6)2 (10.5)<0.0012

Abbreviation: ET, Essential Tremor.

All values represent mean±standard deviation (median) or number (percentage).

1 Analysis of variance test comparing all three groups or the Student t test comparing two groups.

2 Chi-square test comparing all three groups.

3 Jonckheere–Terpstra test comparing all three groups.

{ label (or @symbol) needed for fn[@id='TFN06t01'] } *p<0.05 compared with normals; **p<0.01 compared with normals; ***p = 0.05–0.09. compared with normals.

Note: For some items, data were available on <207 enrollees.

DOI: https://doi.org/10.5334/tohm.191 | Journal eISSN: 2160-8288
Language: English
Submitted on: Dec 27, 2013
Accepted on: Jan 13, 2014
Published on: Feb 10, 2014
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2014 Elan D. Louis, Ruth Ottman, Lorraine N. Clark, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.