Shunt Malfunction Manifested by Parkinsonism: Case Report

Although extrapyramidal features in normal pressure hydrocephalus(NPH) are not uncommon, presentations with Parkinson's syndrome as the predominant feature are rare, especially in children, and may give rise to diagnostic difficulties. We presents a case of NPH manifested by Parkinson's syndrome cured by shunt revision. The patient had the long history of Parkinson's syndrome not responded by drug therapy. Failure of patients with parkinsonism to respond to therapy, should alert one to the possibility of shunt malfunction and NPH.