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J Neurophysiol (March 7, 2007). doi:10.1152/jn.00477.2006
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Submitted on May 4, 2006
Accepted on March 3, 2007

Cortical involvement in the generation of Essential Tremor

Jan Raethjen1, R. B. Govindan1, Florian Kopper1, M. Muthuraman2, and Gunther Deuschl3*

1 Dept. of Neurology, University of Kiel, D-24105 Kiel, Germany
2 Institute for Circuit and System Theory, University of Kiel, Kiel, Germany
3 Department of Neurology, Christian-Albrechts-Universitat Kiel; Department of Neurology, Christian-Albrechts-Universitat Kiel, United States

* To whom correspondence should be addressed. E-mail: g.deuschl{at}neurologie.uni-kiel.de.

Conflicting results on the existence of tremor related cortical activity in Essential Tremor (ET) have raised questions on the role of the cortex in tremor generation. Here we attempt to address these issues. We recorded 64 channel surface EEG and EMG from forearm muscles in 15 patients with definite ET. EEG and EMG power spectra, relative power of the rhythmic EMG activity, relative EEG power at the tremor frequency and EEG-EMG and EEG-EEG coherence were calculated and their dynamics over time explored. Corticomuscular delay was studied using a new method for narrow band coherent signals. Corticomuscular coherence in the contralateral central region at the tremor frequency was present in all patients in recordings with a relative tremor EMG power exceeding a certain level. However, the coherence was lost intermittently even with tremors far above this level. Physiological 15-30 Hz coherence was found consistently in 11 patients with significantly weaker EMG activity in this frequency range. A more frontal (mesial) hot spot was also intermittently coupled with the tremor and the central hot spot in 5 patients. Corticomuscular delays were compatible with transmission in fast corticospinal pathways and feed back of the tremor signal. Thus the tremor rhythm is only intermittently relayed in different cortical motor areas. We hypothesize that tremor oscillations build up in different subcortical and subcortico-cortical circuits only temporarily entraining each other.







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