The aims of this study were to investigate whether GABA+ and Glx concentrations, and the relation between them, were altered in patients with severe essential tremor (ET) compared to healthy controls, and to investigate if the GABA and Glx concentrations were associated with the tremor severity. We observed an increasing GABA+/Glx ratio with tremor severity in the ET patients. Our conclusion was that this increasing cerebellar GABA+/Glx ratio mainly was driven by the decrease in Glx rather than an increase in GABA+, which suggests that an increasing tremor severity is partly due to a disturbance in the Glx concentration.
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