Dopa‐responsive parkinsonism secondary to right temporal lobe haemorrahage
Identifieur interne : 000A52 ( Istex/Curation ); précédent : 000A51; suivant : 000A53Dopa‐responsive parkinsonism secondary to right temporal lobe haemorrahage
Auteurs : Monica J. Ling [Australie] ; Arun Aggarwal [Australie] ; John G. L. Morris [Australie]Source :
- Movement Disorders [ 0885-3185 ] ; 2002-03.
Abstract
A 46‐year‐old man developed a symmetrical parkinsonian syndrome 7 weeks after large right temporal intracerebral haemorrhage resulting from a ruptured arteriovenous malformation. His signs included bradykinesia, rigidity, start hesitation, and poor postural reflexes, without a resting tremor. He also had signs of a Parinaud's syndrome. Computed tomography and magnetic resonance imaging of the brain demonstrated changes in the right temporal lobe associated with the haemorrhage but no abnormality of the basal ganglia or midbrain. Levodopa therapy produced a dramatic improvement within a few days of commencement. We postulate that the parkinsonism resulted from midbrain compression secondary to transtentorial herniation. Although parkinsonism is a rare complication of lobar intracerebral haemorrhage, it is important to recognise as it may be potentially treatable. © 2002 Movemement Disorder Society.
Url:
DOI: 10.1002/mds.10081
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Ling</name><affiliation wicri:level="1"><mods:affiliation>Department of Rehabilitation, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia</mods:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation, Royal Prince Alfred Hospital, Camperdown, New South Wales</wicri:regionArea></affiliation></author><author><name sortKey="Aggarwal, Arun" sort="Aggarwal, Arun" uniqKey="Aggarwal A" first="Arun" last="Aggarwal">Arun Aggarwal</name><affiliation wicri:level="1"><mods:affiliation>Department of Rehabilitation, Royal Prince Alfred Hospital, Camperdown, New South Wales, Australia</mods:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Department of Rehabilitation, Royal Prince Alfred Hospital, Camperdown, New South Wales</wicri:regionArea></affiliation></author><author><name sortKey="Morris, John G L" sort="Morris, John G L" uniqKey="Morris J" first="John G. L." last="Morris">John G. L. 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Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>New York</pubPlace><date type="published" when="2002-03">2002-03</date><biblScope unit="vol">17</biblScope><biblScope unit="issue">2</biblScope><biblScope unit="page" from="402">402</biblScope><biblScope unit="page" to="404">404</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">172F09248D479DA0533D7EB7D0DE538C2BE44437</idno><idno type="DOI">10.1002/mds.10081</idno><idno type="ArticleID">MDS10081</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">A 46‐year‐old man developed a symmetrical parkinsonian syndrome 7 weeks after large right temporal intracerebral haemorrhage resulting from a ruptured arteriovenous malformation. His signs included bradykinesia, rigidity, start hesitation, and poor postural reflexes, without a resting tremor. He also had signs of a Parinaud's syndrome. Computed tomography and magnetic resonance imaging of the brain demonstrated changes in the right temporal lobe associated with the haemorrhage but no abnormality of the basal ganglia or midbrain. Levodopa therapy produced a dramatic improvement within a few days of commencement. We postulate that the parkinsonism resulted from midbrain compression secondary to transtentorial herniation. Although parkinsonism is a rare complication of lobar intracerebral haemorrhage, it is important to recognise as it may be potentially treatable. © 2002 Movemement Disorder Society.</div></front></TEI></record>Pour manipuler ce document sous Unix (Dilib)
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