Clinical-electrophysiological correlation of tremor and myoclonus in a kindred with the N279K tau mutation

Parkinsonism Relat Disord. 2003 Jan;9(3):151-7. doi: 10.1016/s1353-8020(02)00034-2.

Abstract

We used electrophysiological methods to study the hyperkinetic movement disorders in a pallido-ponto-nigral degeneration (PPND) family, which harbors the N279K tau gene mutation. Our purpose was to: (1). characterize the tremor patterns, (2). characterize the myoclonus physiology, (3). determine whether electrophysiology can detect abnormalities in asymptomatic cases. In PPND, we found that the activation tremors correlated with a semi-rhythmic 6-10 Hz electromyography (EMG) pattern, and the rest tremors showed a reciprocal 4-6 Hz pattern. At least two different myoclonus physiology patterns exist in PPND, most notably contrasted by the presence or absence of a demonstrable electroencephalography (EEG) correlate. Electrophysiology yielded remarkable findings in those asymptomatic at-risk individuals that carried the N279K tau mutation.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Electromyography / methods
  • Electrophysiology
  • Humans
  • Mutation / physiology*
  • Myoclonus / genetics*
  • Myoclonus / physiopathology
  • Pedigree
  • Tremor / genetics*
  • Tremor / physiopathology
  • tau Proteins / metabolism*

Substances

  • tau Proteins