Table 2.
Case # | Parkinsonism on Neurological Examination | Latency from ET to Parkinsonism on Neurological Examination (y) | PD or Atypical Parkinsonism Diagnosed During Life | Treated with carbidopalevodopa | Cognitive Complaints | Normal Cognition on Examination | Clinical Diagnosis of Dementia | Latency from ET to Dementia (y) | Latency from last neurological examination to death (m or y) |
---|---|---|---|---|---|---|---|---|---|
1 | RT, B, ePI | 20 | Yes (PD, age 76) | Yes | No | Yes | No | NA | 1m |
2 | None | NA | No | No | Yes | No | Yes (AD, age 93) | 5 | 5.5 y |
3 | RT, B, ePI, deep NLFs | 45 | No | No | Yes | No | Yes, (Dementia, age 88) | 47 | 3.5 y |
4 | RT only | NA1 | No | No | Yes | No | Yes (AD, age 96) | 44 | 1 y |
5 | RT, + pull test | 28 | No | No | No | Yes | No | NA | 1 y |
6 | RT, B, R, PI | 41 | Yes (PD, age 76) | Yes | Yes | No | Yes (Dementia, 75) | 40 | 9 m |
7 | RT, +pull test | 35 | No | No | No | Yes | No | NA | 8 m |
8 | RT, hypophonia | 49 | No | No | Yes | Yes | No | NA | 3 m |
9 | RT, mild B, + pull test | 68 | No | No | No | Yes | No | NA | 1.5 y |
10 | RT, mild B, mild hypomimia | 11 | No | No | No | Yes | No | NA | 1 y |
11 | RT, R | 35 | Yes | Yes | No | Yes | No | NA | 4 m |
AD = Alzheimer disease, B = bradykinesia, ePI = early postural instability, ET = essential tremor, F = female, L = left, NA = not applicable, m = months, NLFs = nasolabial folds, PD = Parkinson disease, PI = postural instability, R = right, RT = rest tremor, y = years, + = positive
Case 4 only had mild rest tremor in the setting of severe, longstanding ET. There was no bradykinesia or other features of parkinsonism.