Consensus Statement on the classification of tremors. from the task force on tremor of the International Parkinson and Movement Disorder Society
ABSTRACT Background Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make...
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| Published in: | Movement disorders Vol. 33; no. 1; pp. 75 - 87 |
|---|---|
| Main Authors: | , , , , , , , , , |
| Format: | Journal Article |
| Language: | English |
| Published: |
United States
Wiley Subscription Services, Inc
01.01.2018
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| Subjects: | |
| ISSN: | 0885-3185, 1531-8257, 1531-8257 |
| Online Access: | Get full text |
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| Abstract | ABSTRACT
Background
Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make a significant revision necessary.
Objectives
Convene an international panel of experienced investigators to review the definition and classification of tremor.
Methods
Computerized MEDLINE searches in January 2013 and 2015 were conducted using a combination of text words and MeSH terms: “tremor”, “tremor disorders”, “essential tremor”, “dystonic tremor”, and “classification” limited to human studies. Agreement was obtained using consensus development methodology during four in‐person meetings, two teleconferences, and numerous manuscript reviews.
Results
Tremor is defined as an involuntary, rhythmic, oscillatory movement of a body part and is classified along two axes: Axis 1—clinical characteristics, including historical features (age at onset, family history, and temporal evolution), tremor characteristics (body distribution, activation condition), associated signs (systemic, neurological), and laboratory tests (electrophysiology, imaging); and Axis 2—etiology (acquired, genetic, or idiopathic). Tremor syndromes, consisting of either isolated tremor or tremor combined with other clinical features, are defined within Axis 1. This classification scheme retains the currently accepted tremor syndromes, including essential tremor, and provides a framework for defining new syndromes.
Conclusions
This approach should be particularly useful in elucidating isolated tremor syndromes and syndromes consisting of tremor and other signs of uncertain significance. Consistently defined Axis 1 syndromes are needed to facilitate the elucidation of specific etiologies in Axis 2. © 2017 International Parkinson and Movement Disorder Society |
|---|---|
| AbstractList | ABSTRACT
Background
Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make a significant revision necessary.
Objectives
Convene an international panel of experienced investigators to review the definition and classification of tremor.
Methods
Computerized MEDLINE searches in January 2013 and 2015 were conducted using a combination of text words and MeSH terms: “tremor”, “tremor disorders”, “essential tremor”, “dystonic tremor”, and “classification” limited to human studies. Agreement was obtained using consensus development methodology during four in‐person meetings, two teleconferences, and numerous manuscript reviews.
Results
Tremor is defined as an involuntary, rhythmic, oscillatory movement of a body part and is classified along two axes: Axis 1—clinical characteristics, including historical features (age at onset, family history, and temporal evolution), tremor characteristics (body distribution, activation condition), associated signs (systemic, neurological), and laboratory tests (electrophysiology, imaging); and Axis 2—etiology (acquired, genetic, or idiopathic). Tremor syndromes, consisting of either isolated tremor or tremor combined with other clinical features, are defined within Axis 1. This classification scheme retains the currently accepted tremor syndromes, including essential tremor, and provides a framework for defining new syndromes.
Conclusions
This approach should be particularly useful in elucidating isolated tremor syndromes and syndromes consisting of tremor and other signs of uncertain significance. Consistently defined Axis 1 syndromes are needed to facilitate the elucidation of specific etiologies in Axis 2. © 2017 International Parkinson and Movement Disorder Society Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make a significant revision necessary.BACKGROUNDConsensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make a significant revision necessary.Convene an international panel of experienced investigators to review the definition and classification of tremor.OBJECTIVESConvene an international panel of experienced investigators to review the definition and classification of tremor.Computerized MEDLINE searches in January 2013 and 2015 were conducted using a combination of text words and MeSH terms: "tremor", "tremor disorders", "essential tremor", "dystonic tremor", and "classification" limited to human studies. Agreement was obtained using consensus development methodology during four in-person meetings, two teleconferences, and numerous manuscript reviews.METHODSComputerized MEDLINE searches in January 2013 and 2015 were conducted using a combination of text words and MeSH terms: "tremor", "tremor disorders", "essential tremor", "dystonic tremor", and "classification" limited to human studies. Agreement was obtained using consensus development methodology during four in-person meetings, two teleconferences, and numerous manuscript reviews.Tremor is defined as an involuntary, rhythmic, oscillatory movement of a body part and is classified along two axes: Axis 1-clinical characteristics, including historical features (age at onset, family history, and temporal evolution), tremor characteristics (body distribution, activation condition), associated signs (systemic, neurological), and laboratory tests (electrophysiology, imaging); and Axis 2-etiology (acquired, genetic, or idiopathic). Tremor syndromes, consisting of either isolated tremor or tremor combined with other clinical features, are defined within Axis 1. This classification scheme retains the currently accepted tremor syndromes, including essential tremor, and provides a framework for defining new syndromes.RESULTSTremor is defined as an involuntary, rhythmic, oscillatory movement of a body part and is classified along two axes: Axis 1-clinical characteristics, including historical features (age at onset, family history, and temporal evolution), tremor characteristics (body distribution, activation condition), associated signs (systemic, neurological), and laboratory tests (electrophysiology, imaging); and Axis 2-etiology (acquired, genetic, or idiopathic). Tremor syndromes, consisting of either isolated tremor or tremor combined with other clinical features, are defined within Axis 1. This classification scheme retains the currently accepted tremor syndromes, including essential tremor, and provides a framework for defining new syndromes.This approach should be particularly useful in elucidating isolated tremor syndromes and syndromes consisting of tremor and other signs of uncertain significance. Consistently defined Axis 1 syndromes are needed to facilitate the elucidation of specific etiologies in Axis 2. © 2017 International Parkinson and Movement Disorder Society.CONCLUSIONSThis approach should be particularly useful in elucidating isolated tremor syndromes and syndromes consisting of tremor and other signs of uncertain significance. Consistently defined Axis 1 syndromes are needed to facilitate the elucidation of specific etiologies in Axis 2. © 2017 International Parkinson and Movement Disorder Society. Background Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make a significant revision necessary. Objectives Convene an international panel of experienced investigators to review the definition and classification of tremor. Methods Computerized MEDLINE searches in January 2013 and 2015 were conducted using a combination of text words and MeSH terms: "tremor", "tremor disorders", "essential tremor", "dystonic tremor", and "classification" limited to human studies. Agreement was obtained using consensus development methodology during four in-person meetings, two teleconferences, and numerous manuscript reviews. Results Tremor is defined as an involuntary, rhythmic, oscillatory movement of a body part and is classified along two axes: Axis 1--clinical characteristics, including historical features (age at onset, family history, and temporal evolution), tremor characteristics (body distribution, activation condition), associated signs (systemic, neurological), and laboratory tests (electrophysiology, imaging); and Axis 2--etiology (acquired, genetic, or idiopathic). Tremor syndromes, consisting of either isolated tremor or tremor combined with other clinical features, are defined within Axis 1. This classification scheme retains the currently accepted tremor syndromes, including essential tremor, and provides a framework for defining new syndromes. Conclusions This approach should be particularly useful in elucidating isolated tremor syndromes and syndromes consisting of tremor and other signs of uncertain significance. Consistently defined Axis 1 syndromes are needed to facilitate the elucidation of specific etiologies in Axis 2. © 2017 International Parkinson and Movement Disorder Society Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances with regard to essential tremor, tremor associated with dystonia, and other monosymptomatic and indeterminate tremors make a significant revision necessary. Convene an international panel of experienced investigators to review the definition and classification of tremor. Computerized MEDLINE searches in January 2013 and 2015 were conducted using a combination of text words and MeSH terms: "tremor", "tremor disorders", "essential tremor", "dystonic tremor", and "classification" limited to human studies. Agreement was obtained using consensus development methodology during four in-person meetings, two teleconferences, and numerous manuscript reviews. Tremor is defined as an involuntary, rhythmic, oscillatory movement of a body part and is classified along two axes: Axis 1-clinical characteristics, including historical features (age at onset, family history, and temporal evolution), tremor characteristics (body distribution, activation condition), associated signs (systemic, neurological), and laboratory tests (electrophysiology, imaging); and Axis 2-etiology (acquired, genetic, or idiopathic). Tremor syndromes, consisting of either isolated tremor or tremor combined with other clinical features, are defined within Axis 1. This classification scheme retains the currently accepted tremor syndromes, including essential tremor, and provides a framework for defining new syndromes. This approach should be particularly useful in elucidating isolated tremor syndromes and syndromes consisting of tremor and other signs of uncertain significance. Consistently defined Axis 1 syndromes are needed to facilitate the elucidation of specific etiologies in Axis 2. © 2017 International Parkinson and Movement Disorder Society. |
| Author | Bhatia, Kailash P. Raethjen, Jan Bain, Peter Hallett, Mark Stamelou, Maria Bajaj, Nin Louis, Elan D. Elble, Rodger J. Deuschl, Guenther Testa, Claudia M. |
| AuthorAffiliation | 9 Virginia Commonwealth University, Richmond, Virginia, USA 3 Division of Neurology, Nottingham University Hospital, Nottingham, United Kingdom 6 Division of Movement Disorders, Department of Neurology, Yale School of Medicine, Yale University, New Haven, Connecticut, USA, and Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA 8 Department of Neurology, Philipps University, Marburg, Germany; Department of Neurology, Attikon Hospital, University of Athens, Athens, Greece 1 Sobell Department of Motor Neuroscience and Movement Disorders, University College London (UCL) Institute of Neurology, London, United Kingdom 7 Department of Neurology, Universitätsklinikum Schleswig-Holstein, Kiel Campus, Christian Albrechts University Kiel, Kiel, Germany 5 Human Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA 2 Department of Neurosciences, Charing Cross Hospital, Imperial Colleg |
| AuthorAffiliation_xml | – name: 4 Southern Illinois University School of Medicine, Springfield, Illinois, USA – name: 8 Department of Neurology, Philipps University, Marburg, Germany; Department of Neurology, Attikon Hospital, University of Athens, Athens, Greece – name: 9 Virginia Commonwealth University, Richmond, Virginia, USA – name: 6 Division of Movement Disorders, Department of Neurology, Yale School of Medicine, Yale University, New Haven, Connecticut, USA, and Department of Chronic Disease Epidemiology, Yale School of Public Health, Yale University, New Haven, Connecticut, USA – name: 5 Human Motor Control Section, National Institute of Neurological Disorders and Stroke, NIH, Bethesda, Maryland, USA – name: 1 Sobell Department of Motor Neuroscience and Movement Disorders, University College London (UCL) Institute of Neurology, London, United Kingdom – name: 2 Department of Neurosciences, Charing Cross Hospital, Imperial College London, United Kingdom – name: 3 Division of Neurology, Nottingham University Hospital, Nottingham, United Kingdom – name: 7 Department of Neurology, Universitätsklinikum Schleswig-Holstein, Kiel Campus, Christian Albrechts University Kiel, Kiel, Germany |
| Author_xml | – sequence: 1 givenname: Kailash P. orcidid: 0000-0001-8185-286X surname: Bhatia fullname: Bhatia, Kailash P. organization: University College London (UCL) Institute of Neurology – sequence: 2 givenname: Peter surname: Bain fullname: Bain, Peter organization: Imperial College London – sequence: 3 givenname: Nin surname: Bajaj fullname: Bajaj, Nin organization: Nottingham University Hospital – sequence: 4 givenname: Rodger J. surname: Elble fullname: Elble, Rodger J. organization: Southern Illinois University School of Medicine – sequence: 5 givenname: Mark surname: Hallett fullname: Hallett, Mark organization: NIH – sequence: 6 givenname: Elan D. surname: Louis fullname: Louis, Elan D. organization: Yale University – sequence: 7 givenname: Jan surname: Raethjen fullname: Raethjen, Jan organization: Christian Albrechts University Kiel – sequence: 8 givenname: Maria orcidid: 0000-0003-1668-9925 surname: Stamelou fullname: Stamelou, Maria organization: University of Athens – sequence: 9 givenname: Claudia M. surname: Testa fullname: Testa, Claudia M. organization: Virginia Commonwealth University – sequence: 10 givenname: Guenther orcidid: 0000-0002-4176-9196 surname: Deuschl fullname: Deuschl, Guenther email: g.deuschl@neurologie.uni-kiel.de organization: Christian Albrechts University Kiel |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/29193359$$D View this record in MEDLINE/PubMed |
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| Copyright | 2017 International Parkinson and Movement Disorder Society 2017 International Parkinson and Movement Disorder Society. 2018 International Parkinson and Movement Disorder Society |
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| Keywords | diagnostic axes tremor classification tremor syndromes etiology |
| Language | English |
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| Notes | Further members of the IPMDS Task Force Full financial disclosures and author roles may be found in the online version of this article. Nothing to report. Relevant conflicts of interest/financial disclosures Dietrich Haubenberger, MHSc, MD; Giovanni Abbruzzese, MD; Julian Benito‐Leon, MD, PhD; Maria Joao Forjaz, PhD; Kelly E. Lyons, PhD; Tiago A. Mestre, MSc, MD; Eng‐King Tan, MD; Joachim Ferreira, MD, PhD ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 ObjectType-Review-3 content type line 23 |
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| PublicationCentury | 2000 |
| PublicationDate | January 2018 |
| PublicationDateYYYYMMDD | 2018-01-01 |
| PublicationDate_xml | – month: 01 year: 2018 text: January 2018 |
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| PublicationPlace | United States |
| PublicationPlace_xml | – name: United States – name: Hoboken |
| PublicationTitle | Movement disorders |
| PublicationTitleAlternate | Mov Disord |
| PublicationYear | 2018 |
| Publisher | Wiley Subscription Services, Inc |
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Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998.... Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent advances... Background Consensus criteria for classifying tremor disorders were published by the International Parkinson and Movement Disorder Society in 1998. Subsequent... |
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| SubjectTerms | Classification Consensus diagnostic axes Dystonia Electrophysiology Etiology Humans International Cooperation MEDLINE - statistics & numerical data Movement disorders Rhythms Societies, Medical - standards Tremor Tremor - classification Tremor - diagnosis tremor syndromes |
| Title | Consensus Statement on the classification of tremors. from the task force on tremor of the International Parkinson and Movement Disorder Society |
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