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Neuroimaging Studies of Essential Tremor: How Well Do These Studies Support/Refute the Neurodegenerative Hypothesis? Cover

Neuroimaging Studies of Essential Tremor: How Well Do These Studies Support/Refute the Neurodegenerative Hypothesis?

Open Access
|May 2014

Figures & Tables

Table 1

Imaging Studies in ET with Respect to Their Support or Refutation of the Neurodegenerative Hypothesis of ET

Imaging MethodSupports the Neurodegenerative HypothesisRefutes the Neurodegenerative HypothesisMethod Does Not Specifically Assess the Neurodegenerative Hypothesis
MRI volumetry
Magnetic resonance spectroscopy
Diffusion-weighted imaging and diffusion tensor imaging
Functional magnetic resonance imaging
Other magnetic resonance imaging
Positron emission tomography√ (11C-flumazenil PET studies)√ (other PET studies)

[i] ET, Essential Tremor; MRI, Magnetic Resonance Imaging; PET, Positron Emission Tomography.

Table 2

Enumeration of Imaging Studies in ET that are Relevant to the Question of the Neurodegenerative Hypothesis of ET

Authors (year)Imaging MethodNumber of SubjectsMain Findings
Daniels et al. 200633MRI volumetry27 ET, 27 controlsNo regional decreases in gray and white matter volume in patients with ET
Quattrone et al. 200834MRI volumetry50 ET (30 with arm tremor and 20 with both arm and head tremor), 32 ControlsMarked atrophy of the cerebellar vermis in the ET patients with arm and head tremor when compared with controls
Cerasa et al. 200935MRI volumetry46 ET (27 with arm tremor and 19 with arm and head tremor), 28 controlsA reduction of cerebellar volume in ET patients with head tremor, with respect to healthy controls
Benito-León et al. 200938MRI volumetry19 ET, 20 controlsIn case–control comparisons, white matter changes were seen in several areas, including the right cerebellum, left medulla, right parietal lobe, and right limbic lobe; gray matter changes were seen in several areas as well, including the bilateral cerebellum, bilateral parietal lobes, right frontal lobe, and right insula
Bagepally et al. 201239MRI volumetry20 ET, 17 controlsET patients exhibited widespread areas of atrophy in both the cerebellum and cerebral gray matter
Lin et al. 201340MRI volumetry10 ET, 10 Parkinson's disease, 13 controlsCompared to the control group, the ET group showed significantly smaller volumes of many brain regions, including the caudate body, middle temporal pole, insula, precuneus, and superior temporal gyrus, but not the cerebellum
Louis et al. 200247MRS16 ET, 11 controlsMean cerebellar cortical NAA/Cr was reduced in cases compared to controls
Pagan et al. 200348MRS10 ET, 10 controlsLeft and right cerebellar hemisphere NAA/Cr ratios were significantly smaller in the ET patients than controls
Kendi et al. 200549MRS14 ET, 9 controlsThe study focused exclusively on the thalamus. In the ET patients, the NAA/Cr ratio in the right thalamus was significantly higher than the NAA/Cr ratio of the left thalamus.
Martinelli et al. 200754DWI10 ET, 10 controlsDiffusion coefficients were similar in all brain areas in ET patients and controls
Buijink et al. 201355DTI8 ET, 5 controlsNo significant decrease in FA values (cerebellum) in ET patients compared to controls
Shin et al. 200852DTI10 ET, 8 controlsET patients exhibited significantly reduced FA in the bilateral cerebellum as well as other brain regions, including the anterolateral portion of the right pons, left midbrain, and bilateral deep white matter of the orbitofrontal, lateral frontal, parietal, and temporal white matter
Nicoletti et al. 201056DTI25 ET, 15 controlsIn ET, FA values were reduced in the region of the dentate nucleus and middle cerebellar peduncle, and mean diffusivity values were higher in the superior cerebellar peduncle
Klein et al. 201157DTI14 ET, 20 controlsReduced FA in the right inferior cerebellar peduncle and increased mean diffusivity bilaterally in the inferior cerebellar peduncles in ET. Increased mean diffusivity was distributed in both motor and non-motor white matter fibers of ET.
Jia et al. 201158DTI15 ET, 15 controlsDiffusion values in the red nuclei were higher in ET cases than controls, but the authors only assessed a limited number of regions of interest, which did not include the cerebellum
Saini et al. 201259DTI20 ET, 17 controlsET patients showed significant increases in diffusivity in the bilateral cerebral hemispheres, cerebellar hemisphere white matter, thalamus, brainstem and right frontoparietal white matter. No significant change in FA of the white matter was seen. Region of interest analysis also revealed abnormalities in the anterior limb of the internal capsules and cerebellar peduncles.
Oliveira et al. 201265Other MRI33 ET, 507 controlsTotal white matter hyperintensity volume was greater in ET cases than controls. Cerebellar white matter hyperintensity volume was greater in ET cases than controls in adjusted analyses.
Novellino et al. 201366Other MRI24 ET, 25 controlsWhole-brain voxel-based analyses showed significant differences, consistent with increased iron deposition, in the bilateral globus pallidus, substantia nigra, and in right dentate nucleus
Boecker et al. 201074PET8 ET, 11 controlsIn the ET patients, there was a significant increase in binding of 11C-flumazenil at the benzodiazepine receptor site of the GABAA receptor in the cerebellum (at the level of the dentate nucleus), the ventrolateral thalamus, and the lateral premotor cortex
Gironell et al. 20127610 ET, no controlsThere was a significant correlation between cerebellar flumazenil uptake and tremor rating scale scores

[i] DTI, Diffusion Tensor Imaging; DWI, Diffusion-Weighted Imaging; ET, Essential Tremor; FA, fractional anisotropy; fMRI, functional Magnetic Resonance Imaging; GABA, gamma-aminobutyric acid; MRI, Magnetic Resonance Imaging; MRS, Magnetic Resonance Spectroscopy; NAA/Cr, N-acetylaspartate/total creatine; PET, Positron Emission Tomography.

DOI: https://doi.org/10.5334/tohm.224 | Journal eISSN: 2160-8288
Language: English
Submitted on: Mar 24, 2014
Accepted on: May 5, 2014
Published on: May 28, 2014
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2014 Elan D. Louis, Chaorui C. Huang, Jonathan P. Dyke, Zaiyang Long, Ulrike Dydak, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.