Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions

<p><strong>Background:</strong>&nbsp;The dentatothalamic tract connects the dentate nucleus of the cerebellum with the contralateral thalamus and plays a major role in the pathogenesis of tremor. Unilateral lesions of the dentatothalamic pathway may affect its ipsilateral prede...

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Main Authors: Majid Esmaeilzadeh, Nesrin Uksul, Joachim K. Krauss
Format: Article
Language:English
Published: Ubiquity Press 2017-12-01
Series:Tremor and Other Hyperkinetic Movements
Online Access:https://tremorjournal.org/index.php/tremor/article/view/515
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author Majid Esmaeilzadeh
Nesrin Uksul
Joachim K. Krauss
author_facet Majid Esmaeilzadeh
Nesrin Uksul
Joachim K. Krauss
author_sort Majid Esmaeilzadeh
collection DOAJ
description <p><strong>Background:</strong>&nbsp;The dentatothalamic tract connects the dentate nucleus of the cerebellum with the contralateral thalamus and plays a major role in the pathogenesis of tremor. Unilateral lesions of the dentatothalamic pathway may affect its ipsilateral predecussational or its contralateral postdecussational course, which results either in ipsilateral or in contralateral tremor.</p><p><strong>Case Report:</strong>&nbsp;Here, we present two patients with a unilateral midbrain lesion resulting in bilateral tremor. Both patients presented with severe kinetic tremor.</p><p><strong>Discussion:</strong>&nbsp;The corresponding unilateral mesencephalic lesion affected both the ipsilateral predecussational and the ipsilateral postdecussational dentatothalamic tract originating from the contralateral dentate nucleus, which is very unusual and has not been outlined clearly before.</p>
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spelling doaj.art-b4c534c5ec714dd083d98aa7091c6dd72022-12-21T21:25:11ZengUbiquity PressTremor and Other Hyperkinetic Movements2160-82882017-12-01710.7916/D88G8Z8J358Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain LesionsMajid Esmaeilzadeh0Nesrin Uksul1Joachim K. Krauss2Department of Neurosurgery, Hannover Medical SchoolDepartment of Neurosurgery, Hannover Medical SchoolDepartment of Neurosurgery, Hannover Medical School<p><strong>Background:</strong>&nbsp;The dentatothalamic tract connects the dentate nucleus of the cerebellum with the contralateral thalamus and plays a major role in the pathogenesis of tremor. Unilateral lesions of the dentatothalamic pathway may affect its ipsilateral predecussational or its contralateral postdecussational course, which results either in ipsilateral or in contralateral tremor.</p><p><strong>Case Report:</strong>&nbsp;Here, we present two patients with a unilateral midbrain lesion resulting in bilateral tremor. Both patients presented with severe kinetic tremor.</p><p><strong>Discussion:</strong>&nbsp;The corresponding unilateral mesencephalic lesion affected both the ipsilateral predecussational and the ipsilateral postdecussational dentatothalamic tract originating from the contralateral dentate nucleus, which is very unusual and has not been outlined clearly before.</p>https://tremorjournal.org/index.php/tremor/article/view/515
spellingShingle Majid Esmaeilzadeh
Nesrin Uksul
Joachim K. Krauss
Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions
Tremor and Other Hyperkinetic Movements
title Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions
title_full Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions
title_fullStr Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions
title_full_unstemmed Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions
title_short Severe Bilateral Kinetic Tremor Due to Unilateral Midbrain Lesions
title_sort severe bilateral kinetic tremor due to unilateral midbrain lesions
url https://tremorjournal.org/index.php/tremor/article/view/515
work_keys_str_mv AT majidesmaeilzadeh severebilateralkinetictremorduetounilateralmidbrainlesions
AT nesrinuksul severebilateralkinetictremorduetounilateralmidbrainlesions
AT joachimkkrauss severebilateralkinetictremorduetounilateralmidbrainlesions