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Electrophysiological Evidence for Functional (Psychogenic) Essential Palatal Tremor Cover

Electrophysiological Evidence for Functional (Psychogenic) Essential Palatal Tremor

Open Access
|Jun 2020

Figures & Tables

tohm-10-1-70-g1.png
Figure 1

Electrophysiology study – case 1. (A) Average of 74 traces from simultaneous electromyography (EMG; top) and electroencephalographic (EEG; bottom) recordings. Markers were manually placed at the onset of each movement of the palate, and all movements were subsequently averaged. A Bereitschaftspotential (BP) is visible starting roughly 800 ms prior to movement onset. (B) An example of simultaneous EMG recordings of the palate (top) and APB (bottom) muscles during left-hand tapping at 1 Hz. The palatal movement is entrained at 1 Hz, and at the offset of tapping there is a clear change in the frequency of the palatal tremor.

tohm-10-1-70-g2.png
Figure 2

Electrophysiology study – case 2. An example of simultaneous electromyography (EMG) recordings of the APB (top) and palate (bottom) muscles during left-hand tapping at 1 Hz. The palatal movement is entrained at 1 Hz, and at the offset of tapping there is a clear change in the frequency of the tremor back to 3 Hz.

Video 1

Time-locked video and Electromyographic recordings – case 2. Electromyography (EMG) and time-locked video from case 2 demonstrating entrainment of the palate to tapping. The EMG data correspond to that shown in Figure 2. Vertical lines in the video indicate when the recording begins (“video begins”), as well as when tapping with APB stopped (“Tapping stops”). EMG alignment to the video can be appreciated by observing the right side of the EMG traces as they enter the viewing screen.

NameLocationRoleContribution
Felipe VialNational Institutes of Health, NINDSAuthorAcquisition and interpretation of the data, writing the report
Emmanuel AkanoNational Institutes of Health, NINDSAuthorAcquisition and interpretation of the data, writing the report
Patrick McGurrinNational Institutes of Health, NINDSAuthorAcquisition and interpretation of the data
Sanaz AttaripourNational Institutes of Health, NINDSAuthorAcquisition and interpretation of the data
Mark HallettNational Institutes of Health, NINDSAuthorWriting the report
DOI: https://doi.org/10.5334/tohm.70 | Journal eISSN: 2160-8288
Language: English
Submitted on: Dec 17, 2019
Accepted on: Apr 16, 2020
Published on: Jun 17, 2020
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2020 Felipe Vial, Emmanuel Akano, Sanaz Attaripour, Patrick McGurrin, Mark Hallett, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.