The cerebral tremor circuit in a patient with Holmes tremor

Abstract The cerebral network associated with Holmes tremor has never been determined directly. A previous study reported a brain network that is functionally connected, in healthy individuals, to different lesions that cause Holmes tremor (lesion connectome). We report a 71‐year‐old man with severe...

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Main Authors: Freek Nieuwhof, Rob M.A. deBie, Peter Praamstra, Pepijn van denMunckhof, Rick C. Helmich
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Annals of Clinical and Translational Neurology
Online Access:https://doi.org/10.1002/acn3.51143
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spelling doaj-1ce298ed94694a6b947217270e6343c92021-05-02T23:51:09ZengWileyAnnals of Clinical and Translational Neurology2328-95032020-08-01781453145810.1002/acn3.51143The cerebral tremor circuit in a patient with Holmes tremorFreek Nieuwhof0Rob M.A. deBie1Peter Praamstra2Pepijn van denMunckhof3Rick C. Helmich4Centre for Cognitive Neuroimaging Donders Institute for Brain, Cognition and BehaviourRadboud University Nijmegen The NetherlandsDepartment of Neurology Amsterdam UMC ‐ Locatie AMCAmsterdam Neuroscience Amsterdam The NetherlandsDepartment of Neurology Center of Expertise for Parkinson & Movement Disorders Donders Institute for Brain, Cognition and BehaviourRadboud University Medical Centre Nijmegen The NetherlandsDepartment of Neurosurgery Amsterdam UMC ‐ Locatie AMCUniversity of Amsterdam Amsterdam The NetherlandsCentre for Cognitive Neuroimaging Donders Institute for Brain, Cognition and BehaviourRadboud University Nijmegen The NetherlandsAbstract The cerebral network associated with Holmes tremor has never been determined directly. A previous study reported a brain network that is functionally connected, in healthy individuals, to different lesions that cause Holmes tremor (lesion connectome). We report a 71‐year‐old man with severe left‐sided tremor caused by a microbleed near the right red nucleus. Using accelerometry‐fMRI, we show tremor‐related activity in contralateral sensorimotor cortex and cerebellar vermis. This network was distinct from, but functionally coupled to, the Holmes lesion connectome. We propose that Holmes tremor involves three distinct cerebral mechanisms: a structural lesion, an intermediate lesion connectome, and symptom‐related activity.https://doi.org/10.1002/acn3.51143
collection DOAJ
language English
format Article
sources DOAJ
author Freek Nieuwhof
Rob M.A. deBie
Peter Praamstra
Pepijn van denMunckhof
Rick C. Helmich
spellingShingle Freek Nieuwhof
Rob M.A. deBie
Peter Praamstra
Pepijn van denMunckhof
Rick C. Helmich
The cerebral tremor circuit in a patient with Holmes tremor
Annals of Clinical and Translational Neurology
author_facet Freek Nieuwhof
Rob M.A. deBie
Peter Praamstra
Pepijn van denMunckhof
Rick C. Helmich
author_sort Freek Nieuwhof
title The cerebral tremor circuit in a patient with Holmes tremor
title_short The cerebral tremor circuit in a patient with Holmes tremor
title_full The cerebral tremor circuit in a patient with Holmes tremor
title_fullStr The cerebral tremor circuit in a patient with Holmes tremor
title_full_unstemmed The cerebral tremor circuit in a patient with Holmes tremor
title_sort cerebral tremor circuit in a patient with holmes tremor
publisher Wiley
series Annals of Clinical and Translational Neurology
issn 2328-9503
publishDate 2020-08-01
description Abstract The cerebral network associated with Holmes tremor has never been determined directly. A previous study reported a brain network that is functionally connected, in healthy individuals, to different lesions that cause Holmes tremor (lesion connectome). We report a 71‐year‐old man with severe left‐sided tremor caused by a microbleed near the right red nucleus. Using accelerometry‐fMRI, we show tremor‐related activity in contralateral sensorimotor cortex and cerebellar vermis. This network was distinct from, but functionally coupled to, the Holmes lesion connectome. We propose that Holmes tremor involves three distinct cerebral mechanisms: a structural lesion, an intermediate lesion connectome, and symptom‐related activity.
url https://doi.org/10.1002/acn3.51143
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