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Biomarkers demonstrate increased consumption, but not abuse, of ethanol in essential tremor

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Abstract

Ethanol is known to improve tremor in a proportion of patients with essential tremor. Increased incidence of alcoholism has been suspected in essential tremor patients; however, no objective evaluation has been performed using laboratory markers to date. Data on alcohol intake in the last 30 days were acquired in 95 essential tremor patients and 35 healthy controls. Blood and urine markers related to alcohol metabolism and liver function were evaluated. Self-reported alcohol intake and biomarker levels were higher in essential tremor, but the difference was only significant for carbohydrate-deficient transferrin. None of the subjects presented with laboratory parameters reflecting chronic alcohol abuse. Our data do not reflect a higher incidence of alcoholism in patients with essential tremor. Their alcohol intake is well controlled and does not exceed the limits of healthy social drinking.

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References

  1. Critchley M (1949) Observations on essential (heredofamial) tremor. Brain 72(Pt. 2):113–139

    Article  PubMed  CAS  Google Scholar 

  2. Growdon JH, Shahani BT, Young RR (1975) The effect of alcohol on essential tremor. Neurology 25(3):259–262

    Article  PubMed  CAS  Google Scholar 

  3. Lou JS, Jankovic J (1991) Essential tremor: clinical correlates in 350 patients. Neurology 41(2 (Pt 1):234–238

    Article  PubMed  CAS  Google Scholar 

  4. Bain PG, Findley LJ, Thompson PD, Gresty MA, Rothwell JC, Harding AE, Marsden CD (1994) A study of hereditary essential tremor. Brain 117(Pt 4):805–824

    Article  PubMed  Google Scholar 

  5. Klebe S, Stolze H, Grensing K, Volkmann J, Wenzelburger R, Deuschl G (2005) Influence of alcohol on gait in patients with essential tremor. Neurology 65(1):96–101

    Article  PubMed  CAS  Google Scholar 

  6. Manto M, Laute MA (2008) A possible mechanism for the beneficial effect of ethanol in essential tremor. Eur J Neurol 15(7):697–705

    Article  PubMed  CAS  Google Scholar 

  7. Nasrallah HA, Schroeder D, Petty F (1982) Alcoholism secondary to essential tremor. J Clin Psychiatry 43(4):163–164

    PubMed  CAS  Google Scholar 

  8. Schroeder D, Nasrallah HA (1982) High alcoholism rate in patients with essential tremor. Am J Psychiatry 139(11):1471–1473

    PubMed  CAS  Google Scholar 

  9. Levin J, Mehrkens J, Gerbes A, Botzel K (2009) Essential tremor leading to toxic liver damage successfully treated with deep brain stimulation. Acta Neurochir (Wien) 151(10):1305–1307

    Article  Google Scholar 

  10. Rajput AH, Offord KP, Beard CM, Kurland LT (1984) Essential tremor in Rochester, Minnesota: a 45-year study. J Neurol Neurosurg Psychiatry 47(5):466–470

    Article  PubMed  CAS  Google Scholar 

  11. Louis ED, Benito-Leon J, Bermejo-Pareja F (2009) Population-based study of baseline ethanol consumption and risk of incident essential tremor. J Neurol Neurosurg Psychiatry 80(5):494–497

    Article  PubMed  CAS  Google Scholar 

  12. Koller W, O’Hara R, Dorus W, Bauer J (1985) Tremor in chronic alcoholism. Neurology 35(11):1660–1662

    Article  PubMed  CAS  Google Scholar 

  13. Koller WC (1983) Alcoholism in essential tremor. Neurology 33(8):1074–1076

    Article  PubMed  CAS  Google Scholar 

  14. Rautakorpi I, Marttila RJ, Rinne UK (1983) Alcohol consumption of patients with essential tremor. Acta Neurol Scand 68(3):177–179

    Article  PubMed  CAS  Google Scholar 

  15. Louis ED, Jurewicz EC, Applegate L, Luchsinger JA, Factor-Litvak P, Parides M (2004) Semiquantitative study of current coffee, caffeine, and ethanol intake in essential tremor cases and controls. Mov Disord 19(5):499–504

    Article  PubMed  Google Scholar 

  16. Mostile G, Jankovic J (2010) Alcohol in essential tremor and other movement disorders. Mov Disord 25(14):2274–2284

    Article  PubMed  Google Scholar 

  17. Bain P, Brin M, Deuschl G, Elble R, Jankovic J, Findley L, Koller WC, Pahwa R (2000) Criteria for the diagnosis of essential tremor. Neurology 54(11 Suppl 4):S7

    PubMed  CAS  Google Scholar 

  18. Preedy V, Watson R (2010) Handbook of disease burdens and quality of life measures. Springer, New York

    Book  Google Scholar 

  19. Fahn S, Tolosa E, Maria C (1993) Clinical rating scale for tremor. In: Jankovic J, Tolosa E (eds) Parkinsons disease and movement disorders. Williams and Wilkins, Baltimore, pp 271–280

    Google Scholar 

  20. Helander A, Fors M, Zakrisson B (2001) Study of Axis-Shield new %CDT immunoassay for quantification of carbohydrate-deficient transferrin (CDT) in serum. Alcohol Alcohol 36(5):406–412

    PubMed  CAS  Google Scholar 

  21. Weinmann W, Schaefer P, Thierauf A, Schreiber A, Wurst FM (2004) Confirmatory analysis of ethylglucuronide in urine by liquid-chromatography/electrospray ionization/tandem mass spectrometry according to forensic guidelines. J Am Soc Mass Spectrom 15(2):188–193

    Article  PubMed  CAS  Google Scholar 

  22. Koch H, Meerkerk GJ, Zaat JO, Ham MF, Scholten RJ, Assendelft WJ (2004) Accuracy of carbohydrate-deficient transferrin in the detection of excessive alcohol consumption: a systematic review. Alcohol Alcohol 39(2):75–85

    PubMed  CAS  Google Scholar 

  23. Johnson B, Ruiz P, Galanter M (2003) Handbook of clinical alcoholism treatment. Lippincott Williams & Wilkins, Baltimore

    Google Scholar 

  24. Hock B, Schwarz M, Domke I, Grunert VP, Wuertemberger M, Schiemann U, Horster S, Limmer C, Stecker G, Soyka M (2005) Validity of carbohydrate-deficient transferrin (%CDT), gamma-glutamyltransferase (gamma-GT) and mean corpuscular erythrocyte volume (MCV) as biomarkers for chronic alcohol abuse: a study in patients with alcohol dependence and liver disorders of non-alcoholic and alcoholic origin. Addiction 100(10):1477–1486

    Article  PubMed  CAS  Google Scholar 

  25. Wurst FM, Skipper GE, Weinmann W (2003) Ethyl glucuronide—the direct ethanol metabolite on the threshold from science to routine use. Addiction 98(Suppl 2):51–61

    Article  PubMed  Google Scholar 

  26. Csémy L (2000) Zdravi a skodlivé navyky: Alkohol–konzumni zvyklosti dospelé ceské populace [The health and addictive behaviours: drinking patterns of the Czech adult population]. Demographie 42(1):31–36

    Google Scholar 

  27. Organization WH (2004) WHO Global Status Report on Alcohol http://www.who.int/substance_abuse/publications/en/czech_republic.pdf. Accessed 29 Jan 2011

  28. Alling C, Chick JD, Anton R, Mayfield RD, Salaspuro M, Helander A, Harris RA (2005) Revealing alcohol abuse: to ask or to test? Alcohol Clin Exp Res 29(7):1257–1263

    Article  PubMed  CAS  Google Scholar 

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Correspondence to Evžen Růžička.

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Ulmanová, O., Vinopalová, M., Zima, T. et al. Biomarkers demonstrate increased consumption, but not abuse, of ethanol in essential tremor. J Neurol 259, 1177–1180 (2012). https://doi.org/10.1007/s00415-011-6323-3

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  • DOI: https://doi.org/10.1007/s00415-011-6323-3

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