Evidence map›Paper›PMID 40985171›Full record

ArticleMovement disorders clinical practice2026

Integrity of Brainstem Connections in Essential Tremor Using Auditory and Vestibular Evoked Potentials.

Aya Abdelhamid Elkordi, Alia Hassan Mansour, Hoda Mahmoud Weheiba, Asmaa Helmy, Eman Moanes Abushady, Ali Shalash

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Article in Movement disorders clinical practice, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Aya Abdelhamid ElkordiNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Alia Hassan MansourNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.ORCID https://orcid.org/0000-0002-8806-9429
Hoda Mahmoud WeheibaAudiology Unit, Department of Otorhinolaryngology, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Asmaa HelmyNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Eman Moanes AbushadyNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.
Ali ShalashNeurology Department, Faculty of Medicine, Ain Shams University, Cairo, Egypt.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundEssential tremor (ET) is associated with various of non-motor symptoms including hearing impairment and imbalance attributed to the neurodegenerative ET pathology affecting brainstem structures.

objectiveThis study aimed to assess auditory and vestibular brainstem functions in patients with ET in comparison to controls using auditory brainstem responses (ABR) and cervical and ocular vestibular-evoked myogenic potentials (cVEMP and oVEMP), and to correlate their dysfunction to disease characteristics.

methods24 patients (48 ears) with ET and 24 healthy controls were recruited and assessed by ABR, cVEMP and oVEMP. Patients were assessed by Fahn-Tolosa-Marin Tremor Rating Scale (FTM-TRS) and functional gait assessment scale.

resultsHigh-rate ABR showed significant increase of waves III and V latencies and I-V interpeak latencies among patients, compared to age and gender matched controls. Low-rate ABR showed less significant differences; right, I-III and I-V interpeak latencies, and average I-III interlatences. ET patients showed prolonged latencies of P1 and N1 waves of cVEMP (P = 0.007 and P = 0.003), average P1-N1 latency and amplitude differences (P < 0.001) and P1 latency of oVEMP (P = 0.009), compared to controls, with more differences in cVEMP than in oVEMP. Age, age of onset, disease duration showed correlations with ABR responses, tremor severity correlated with oVEMP, while functional gait scores correlated with both.

conclusionThe study confirmed and localized the dysfunction of the auditory and vestibular brainstem connections in ET and demonstrated a possible correlation with tremor severity and associated gait dysfunction.

Indexed as

Brain StemEssential TremorEvoked Potentials, Auditory, Brain StemVestibular Evoked Myogenic PotentialsAdultAgedFemaleHumansMaleMiddle AgedSeverity of Illness Indexauditorybrainstemessential tremorevoked potentialsneurodegenerationvestibular

Identifiers

PMID40985171
PMCPMC13042486

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