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Probable REM-Sleep Behavior Disorder and Dysautonomic Symptoms in Essential Tremor Cover

Probable REM-Sleep Behavior Disorder and Dysautonomic Symptoms in Essential Tremor

Open Access
|Dec 2017

Figures & Tables

Table 1

Clinical and Demographic Characteristics of ET Patients and RBD Subgroups

All ET Patients (n=53)ET-RBD (n=14)ET-nonRBD (n=39)p value (ET-RBD vs. ET-nonRBD)
Age, yrs73.6 (±11.0)70.1 (±15.5)74.8 (±8.6)0.558
Female sex29 (54.7%)8 (57.1%)21 (53.8%)0.832
Age at onset, yrs53.7 (±20.3)51.8 (±22.6)54.4 (±19.8)0.693
Onset before 65 yrs31 (58.5%)8 (57.1%)23 (58.9%)0.905
Disease duration, yrs19.9 (±17.3)18.3 (±15.8)20.5 (±18.0)0.746
Family history30 (56.6%)7 (50.0%)23 (58.9%)0.496
Onset of tremor
Localization
 Upper limbs48 (90.6%)13 (93%)35 (89.7%)1.0001
 Other25 (9.4%)1 (7.1%)4 (10.2%)
Symmetry3
 Symmetrical onset36 (72%)12 (92.3%)24 (64.9%)0.0781
 Asymmetrical onset14 (28%)1 (7.7%)13 (35.1%)
On treatment41 (77.4%)12 (85.7%)29 (74.4%)0.384
 Propanolol15 (36.5%)6 (50.0%)9 (31.0%)
 Primidone22 (53.6%)6 (50.0%)16 (55.1%)
 Topiramate6 (14.6%)6 (20.7%)
 Others44 (9.7%)
RBDSQ scores (mean±SD)3.7 (±2.9)8.0 (±2.0)2.2 (±1.2)<0.001
SCOPA-AUT (mean± SD)
 SCOPA-total9.3 (±7.0)13.9 (±9.6)7.7 (±5.1)0.017*
 Gastrointestinal2.4 (±2.5)3.9 (±3.5)1.8 (±1.8)0.067
 Urinary3.9 (±3.4)4.8 (±4.4)3.6 (±2.9)0.758
 Cardiovascular1.2 (±1.9)1.8 (±2-5)0.9 (±1.7)0.157
 Thermoregulatory1.3 (±1.8)2.5 (±2.0)0.9 (±1.6)0.001***
 Pupillomotor0.6 (±1.0)0.0 (±1.3)0.4 (±0.9)0.137
Comorbidities268180.480
 Hypertension208120.081
 Diabetes9180.4161
 BPH3030.5571

Abbreviations: BPH, Benign Prostatic Hyperplasia; ET, Essential Tremor; RBD, Rapid Eye Movement Sleep Behavior Disorder; RBDSQ, Rapid Eye Movement Sleep Behavior Disorder Screening Questionnaire; SCOPA-AUT, Scales for Outcomes in Parkinson’s Disease-Autonomic; SD, Standard Deviation.

1 Fisher’s exact t test.

2 Head (n=3), both lower limbs (n=2).

3 For total ET patients n=50, for ET+RBD n=13, for ET no RBD n=37.

4 Gabapentine (n=2), alprazolam (n=1), trihexyphenidyl (n=1).

* p<0.05;

*** p<0.005

DOI: https://doi.org/10.5334/tohm.350 | Journal eISSN: 2160-8288
Language: English
Submitted on: Oct 22, 2017
Accepted on: Dec 6, 2017
Published on: Dec 29, 2017
Published by: Columbia University Libraries/Information Services
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2017 Raquel Barbosa, Marcelo Mendonça, Filipa Ladeira, Rita Miguel, Paulo Bugalho, published by Columbia University Libraries/Information Services
This work is licensed under the Creative Commons License.