AJDRAJNR - American Journal of Neuroradiology

Published ahead of print on July 24, 2008
doi: 10.3174/ajnr.A1190

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Essential Head Tremor Is Associated with Cerebellar Vermis Atrophy: A Volumetric and Voxel-Based Morphometry MR Imaging Study

A. Quattronea,b, A. Cerasaa, D. Messinaa,b, G. Nicolettia,b, G.E. Hagbergc, L. Lemieuxd, F. Novellinob, P. Lanzaa, G. Arabiaa and M. Salsoneb

a Institute of Neurological Sciences, National Research Council, Piano Lago di Mangone, Cosenza, Italy
b Institute of Neurology, University "Magna Graecia," Catanzaro, Italy
c IRCCS Fondazione Santa Lucia, Rome, Italy
d Department of Clinical and Experimental Epilepsy, University College London, Institute of Neurology, Queen Square, London, UK


Figure 1
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Fig 1. Sample manual region-of-interest tracings assessing planimetric measurements of the vermal-functional areas by using the MRreg software.14 Data are shown for a control subject with no atrophy. A, The anterior lobule. B, The posterior superior lobule. C, The posterior inferior lobule. A + B + C = midsagittal vermal area.


Figure 2
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Fig 2. Results from an optimized VBM analysis showing significant cerebellar atrophy at the level of the anterior lobe, above that occurring globally, selectively in patients with both a-ET and h-ET (Pcorrected < .001). Data analyses have been further corrected for age and sex. The maps are superimposed on the T1-weighted image averaged across all participants. The bar graphs give the mean and SD GM volume of voxels showing peak differences in the vermis. Patients with only a-ET display a tendency toward a CV loss.