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Neurology 2003;60:1344-1347
© 2003 American Academy of Neurology


Brief Communications

Evaluation of essential tremor with multi-voxel magnetic resonance spectroscopy

Fernando L. Pagan, MD, John A. Butman, MD PhD, James M. Dambrosia, PhD and Mark Hallett, MD

From the Medical Neurology Branch (Drs. Pagan and Hallett) and Biostatistics Branch (Dr. Dambrosia), National Institutes of Health, National Institute of Neurological Disorders and Stroke; Diagnostic Radiology Department (Dr. Butman), Warren G. Magnuson Clinical Center, Bethesda, MD.

Address correspondence and reprint requests to Dr. Mark Hallett, NIH, NINDS, HMCS, Building 10, Room 5N226, 10 Center Drive, MSC1428, Bethesda, MD 20892-1428; e-mail: hallettm{at}ninds.nih.gov

The pathologic substrate of essential tremor (ET) remains unknown. The authors studied 10 patients with ET and 10 volunteers using a multislice MR spectroscopy imaging sequence. Left and right cerebellar hemisphere NAA/CR and NAA/Cho ratios were significantly smaller in the ET patients than healthy subjects. The authors’ data suggest that the decreased NAA/Cr and NAA/Cho ratios within the cerebellum may represent an abnormality in neuronal function.




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