Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0040822 (tremor)
 18,428 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Unilateral loss of horizontal semicircular canal function, termed canal paresis, is an important finding in dizzy patients. To our knowledge, apart from head-shaking nystagmus, no clinical sign of canal paresis has yet been described and the term derives from the characteristic finding on caloric tests: little or no nystagmus evoked by either hot or cold irrigation of the affected ear. We describe a simple and reliable clinical sign of total unilateral loss of horizontal semicircular canal function: one large or several small oppositely directed, compensatory, refixation saccades elicited by rapid horizontal head rotation toward the lesioned side. Using magnetic search coils to measure head and eye movement, we have validated this sign in 12 patients who had undergone unilateral vestibular neurectomy.
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PMID:A clinical sign of canal paresis. 339 28

A cross-sectional epidemiological study was carried out among 141 male subjects exposed to inorganic manganese (Mn) in a Mn oxide and salt producing plant (mean age 34.3 years; duration of exposure, mean 7.1 years, range 1-19 years). The results were compared with those of a matched control group of 104 subjects. The intensity of Mn exposure was moderate as reflected by the airborne Mn levels and the concentrations of Mn in blood (Mn-B) and in urine (Mn-U). A significantly higher prevalence of cough in cold season, dyspnea during exercise, and recent episodes of acute bronchitis was found in the Mn group. Lung ventilatory parameters (forced vital capacity, FVC; forced expiratory volume in one second, FEV1; peak expiratory flow rate, PEFR) were only mildly altered in the Mn group (smokers) and the intensity and the prevalence of these changes were not related to Mn-B, Mn-U, or duration of exposure. There was no synergistic effect between Mn exposure and smoking on the spirometric parameters. Except for a few nonspecific symptoms (fatigue, tinnitus, trembling of fingers, increased irritability), the prevalence of the other subjective complaints did not differ significantly between the control and Mn groups. Psychomotor tests were more sensitive than the standardized neurological examination for the early detection of adverse effects of Mn on the central nervous system (CNS). Significant alterations were found in simple reaction time (visual), audioverbal short-term memory capacity, and hand tremor (eye-hand coordination, hand steadiness). A slight increase in the number of circulating neutrophils and in the values of several serum parameters (ie, calcium, ceruloplasmin, copper, and ferritin) was also found in the Mn group. There were no clear-cut dose-response relationships between Mn-U or duration of Mn exposure and the prevalence of abnormal CNS or biological findings. The prevalences of disturbances in hand tremor and that of increased levels of serum calcium were related to Mn-B. The response to the eye-hand coordination test suggests the existence of a Mn-B threshold at about 1 microgram Mn/100 ml of whole blood. This study demonstrates that a time-weighted average exposure to airborne Mn dust (total dust) of about 1 mg/m3 for less than 20 years may present preclinical signs of intoxication.
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PMID:Epidemiological survey among workers exposed to manganese: effects on lung, central nervous system, and some biological indices. 357 89

The study reported here was undertaken to establish the degree to which a person in a preclinical state of hyperthyroidism, with (by definition) euthyroid T3 and T4 levels but suppressed TRH on testing, already exhibits psychological changes and clinical symptoms. Two groups of 20 patients each, with clear clinical and preclinical hyperthyroidism (as defined by laboratory parameters), were studied, as well as a group of 20 controls. The subjects' psychological state of mind was investigated using self-rating scales, including the state-trait-anxiety inventory (STAI), "Befindlichkeits"-Skala (Bf-S'), depression scale (D-S'), and a list of adjectives (EWL-K) with 14 different aspects of affective moods. Cognitive achievements were evaluated using the d2 test. Subjects were examined for somatic symptoms in accordance with Crooks' index of hyperthyroidism. The results clearly showed that typical psychological and somatic changes are already present in preclinical hyperthyroidism, these changes being partly identical with those of definite hyperthyroidism. In both patient groups, a significant increase in anxiety, a sense of not feeling well, and emotional irritability were found, as well as a tendency towards depressiveness, and an increased lack of vitality and activity. Attentiveness and concentration in both patient groups were lower than in the control group. Both patient groups showed the same prevalence of symptoms, such as palpitations, preference of cold over heat, excessive sweating, nervousness, fine digital tremor, and increased heart rate. With regard to the results, the diagnosis "preclinical hyperthyroidism" thus gains importance. Further prospective studies are required to answer the question whether antithyroidal treatment will influence the described psychological and somatic state of patients with preclinical hyperthyroidism.
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PMID:[Correlation of "latent hyperthyroidism" with psychological and somatic changes]. 358 69

Human reaction to cold stress and hypothermia involves shivering. Another form of overt shaking, postoperative shivering, has been attributed as a thermoregulatory response to postoperative hypothermia. Analysis of the normal human shivering pattern showed a synchronized, slow amplitude modulation (six to eight cycles/min) over all muscles sampled. In addition, there was a frequency of 8 to 10 Hz associated with each low-frequency amplitude modulation. EMG signals from postoperative patients revealed none of the major patterns seen in thermal-induced shivering. Cold-induced vasodilation also was studied and found to occur simultaneously in all cold-stressed fingers regardless of size or innervation. Thermal shivering and cold-induced vasodilation are considered to be manifestations of central neural oscillators.
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PMID:Human studies concerning thermal-induced shivering, postoperative "shivering," and cold-induced vasodilation. 363 68

We measured the electrical activity and the tremor of the pectoral muscle and total body heat production in control and cold-acclimated Japanese quail at +26 degrees C, +12 degrees C and +2 degrees C before and after 3 weeks of acclimation, using electromyography, accelerometer recordings, and indirect calorimetry. Japanese quail shiver in 0.2- to 3-s bursts that occur in groups. An increase in both the frequency and the duration of bursts and burst groups contributes to the increase in heat production by shivering at low temperatures. A compilation of shivering patterns in birds is given and its implications for the neural control and phylogeny of shivering are discussed. A rather non-specific increase in electromyographic (EMG) activity and heat production was observed after cold acclimation at all experimental temperatures, although many of the normal signs of cold acclimation (e.g. decrease in gonad mass, increase in heart mass and serum triiodothyronine) were seen. The increase in muscle electrical activity was greater than the increase in oxygen uptake, which resulted in a lower VO2/EMG ratio. The amplitude distribution of muscle electrical activity remained normal, but a shift towards higher frequencies occurred in the EMG spectra of cold-acclimated birds. Despite the increase in muscle electrical activity, power spectra of accelerometer recordings indicated that the amplitude of the muscle tremor was lower in cold-acclimated birds. The increase in the high-frequency components of the EMG indicates that decreased synchronization of motor unit firing may account for the lower tremor amplitude. We suggest that this change is adaptive because it reduces heat loss and/or because more fatigue-resistant motor units are recruited. These results show that temperature acclimation modifies the neural control of shivering in skeletal muscle.
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PMID:The relationship of muscle electrical activity, tremor and heat production to shivering thermogenesis in Japanese quail. 376 Jul 68

Respiratory, cardiovascular and blood gas responses of pigeons to spinal cord cooling (36 +/- 1 degrees C), to ambient cooling (Ta = 5 degrees C) and to simultaneous spinal cord and ambient cooling were measured at three different levels of fractional inspired oxygen concentration (FIO2 = 0.209, 0.10 and 0.07). Shivering and the 'extra' VO2 provoked by ambient and/or spinal cord cooling were more or less reduced during hypoxic exposure depending on the intensity of cold stress and hypoxic states. At FIO2 = 0.10 shivering was markedly reduced and sometimes inhibited, whereas at FIO2 = 0.07 any pattern of cold tremor was inhibited. The accompanying cardiorespiratory responses were similar to those of thermoneutral controls exposed to the same FIO2. The amount by which VO2 was reduced in the pigeons exposed to hypoxia during ambient and/or spinal cord cooling was correlated, at both levels of hypoxia, to the thermoregulatory VO2 (viz. the 'extra' VO2 produced by cooling) prior to exposure to the hypoxic gas. The effect of hypoxia on shivering and associated cardiorespiratory adjustments was rapid and was completely reversible on return to air. We conclude that the thermoregulatory system in pigeons is sensitive to hypoxia, as is the case for mammals. The FIO2 that begins to inhibit thermoregulatory and metabolic responses to cold is lower in birds, perhaps as a result of the better ability of the bird to increase intrapulmonary gas and blood O2 convective transports when exposed to hypoxic gas.(ABSTRACT TRUNCATED AT 250 WORDS)
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PMID:The effects of hypoxia on the metabolic and cardiorespiratory responses to shivering produced by external and central cooling in the pigeon. 376 77

The firing rate of single motor units was 5-12/sec during cold tremor in anesthetized pigeons. Some differences of the firing rate characteristics were found between pigeons captured in winter and in summer.
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PMID:[Thermoregulatory activity of the motor units of skeletal muscles in the pigeon]. 381 97

The impulse activity of flexor and extensor gamma- and alpha-motoneurons was investigated in anesthetized cats during cold tremor. Total cooling, local cold stimulation of thermoreceptors or electrical stimulation of dorsomedial area of posterior hypothalamus were shown to evoke primary activation of flexor--and simultaneous inhibition of extensor gamma-motoneurons, with secondary activation of flexor alpha-motoneurons. Caloric stimulation of the vestibular receptors during cold tremor evokes primary inhibition of the activity of flexor alpha-motoneurons and secondary inhibition of flexor gamma-motoneurons as well as simultaneous activation of extensor gamma-motoneurons.
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PMID:[Interaction of thermoreceptive and vestibular signalling in regulating the activity of flexor and extensor motor nuclei during cold tremor]. 387 1

The levels of mouse liver tyrosine aminotransferase (TAT) are shown to increase rapidly and transiently during and after various challenges (e.g., exposure to cold or shaking) to the homeostatic machinery of the fasted mouse. The increase of TAT is dependent on gene activity. Recent feeding and adrenalectomy are shown to inhibit the induction of TAT during the challenge of cold.
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PMID:Regulation of liver tyrosine aminotransferase by endogenous factors in the mouse. 439 Oct 49

1. Noradrenaline (NA) was injected in a volume of 1.0 mul. through chronically implanted cannula into the hypothalamus of the unanaesthetized pigeon.2. In doses of 1-15 mug NA caused complete inhibition of shivering of dose-dependent duration. Histological mapping of the brain showed that NA was exerting its inhibitor action in the region above the optic chiasma bordering on the posterior hypothalamus and the anterior preoptic nucleus.3. At low ambient temperature, the NA induced inhibition of the cold tremor caused a fall of core temperature which lasted as long as shivering was inhibited. Shivering induced by local cooling of the spinal cord, and by the combined cooling of the skin and the spinal cord, was likewise inhibited by the cerebral application of NA. There was no evidence of an adjustment of the temperature set-point by NA.4. A rapid rise in skin temperature of the unfeathered feet, whenever NA was injected indicated a reduction in peripheral vasomotor tone.
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PMID:The influence of centrally applied noradrenaline on shivering and body temperature in the pigeon. 484 Aug 53


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