Evidence map›Paper›PMID 34992964›Full record

ArticleNeurology. Clinical practice2021

Mixed Motor Disorder: Essential Tremor Families With Heterogeneous Motor Phenomenology.

Elan D Louis, Nora C Hernandez, Ruth Ottman, Lorraine N Clark

Open access · greenAbstract read
In one paragraph

Article in Neurology. Clinical practice, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 52% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 5 citations in OpenAlex.

  1. Does the Severity of Arm Tremor in Essential Tremor Correlate with Impaired Balance?Tremor and other hyperkinetic movements (New York, N.Y.) · 2026
    Article
  2. Article
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 1 institution in 1 country.

Elan D LouisDepartment of Neurology (EDL, NCH), University of Texas Southwestern, Dallas; G.H. Sergievsky Center (RO), Department of Neurology (RO), College of Physicians and Surgeons, and Department of Epidemiology (RO), Mailman School of Public Health, Columbia University; Division of Translational Epidemiology (RO), New York State Psychiatric Institute; and Taub Institute for Research on Alzheimer's Disease and the Aging Brain (LNC), College of Physicians and Surgeons, Columbia University, New York.
Nora C HernandezDepartment of Neurology (EDL, NCH), University of Texas Southwestern, Dallas; G.H. Sergievsky Center (RO), Department of Neurology (RO), College of Physicians and Surgeons, and Department of Epidemiology (RO), Mailman School of Public Health, Columbia University; Division of Translational Epidemiology (RO), New York State Psychiatric Institute; and Taub Institute for Research on Alzheimer's Disease and the Aging Brain (LNC), College of Physicians and Surgeons, Columbia University, New York.
Ruth OttmanDepartment of Neurology (EDL, NCH), University of Texas Southwestern, Dallas; G.H. Sergievsky Center (RO), Department of Neurology (RO), College of Physicians and Surgeons, and Department of Epidemiology (RO), Mailman School of Public Health, Columbia University; Division of Translational Epidemiology (RO), New York State Psychiatric Institute; and Taub Institute for Research on Alzheimer's Disease and the Aging Brain (LNC), College of Physicians and Surgeons, Columbia University, New York.ORCID 0000-0001-7074-242X
Lorraine N ClarkDepartment of Neurology (EDL, NCH), University of Texas Southwestern, Dallas; G.H. Sergievsky Center (RO), Department of Neurology (RO), College of Physicians and Surgeons, and Department of Epidemiology (RO), Mailman School of Public Health, Columbia University; Division of Translational Epidemiology (RO), New York State Psychiatric Institute; and Taub Institute for Research on Alzheimer's Disease and the Aging Brain (LNC), College of Physicians and Surgeons, Columbia University, New York.
Columbia University · US

Funding

Identification of Susceptibility Genes for Essential TremorR01NS073872 · NINDS · COLUMBIA UNIVERSITY HEALTH SCIENCES · PI CLARK, LORRAINE N, LOUIS, ELAN D · 2011 to 2019
$7.4M
NINDS NIH HHS R01 NS073872
6 · The paper itself

Abstract

BACKGROUND AND

objectivesEssential tremor (ET) is one of the most prevalent movement disorders. Because ET is so common, individuals with other neurologic disorders may also have ET. There is evidence, however, that the cooccurrence of ET with Parkinson disease (PD) and/or dystonia is not merely a chance cooccurrence. We have observed combinations of these 3 movement disorders within individuals and across individuals within families containing multiple individuals with ET. This observation has a number of implications. Our objective is to present 4 ET families in whom motor phenomenology was heterogeneous and discuss the implications of this finding.

methodsET cases and their relatives were enrolled in the Family Study of Essential Tremor (2015-present). Phenotyping was performed by a senior movement disorders neurologist based on neurologic examination.

resultsWe present 4 families, including 14 affected individuals, among whom assigned diagnoses were ET, PD, ET + PD, and ET + dystonia. In those with ET and another movement disorder, the predominant and earliest phenotype was ET. DISCUSSION: There are assortments of these 3 involuntary motor disorders, ET, dystonia, and PD, both within individuals and in different individuals within ET families. This observation has mechanistic implications. Furthermore, we believe that the concept of the mixed motor disorder should enter into and inform the clinical dialogue. In assigning diagnoses, clinicians are swayed by family history information, and they should be prepared to observe a mix of different motor disorders to manifest within particular families.

Identifiers

PMID34992964
PMCPMC8723948
OpenAlexW3158423552

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.