A Parkinsonism as a Component of Sylvian Aqueduct Syndrome: Effect of Floating Cranioplasty and Distal Catheter Elongation
Journal of Korean Neurosurgical Society
;
: 438-442, 2006.
Artigo
em Inglês
| WPRIM
| ID: wpr-67810
ABSTRACT
The sylvian aqueduct syndrome is a global rostral midbrain dysfunction induced by a transtentorial pressure gradient through the aquaeductus. Several months after ventriculoperitoneal shunt, a patient with hydrocephalus began experiencing a constellation of midbrain dysfunction symptoms, including bradykinesia, medial longitudinal fasciculus syndrome, third nerve palsy, and mutism. These were indicative of cerebral aqueduct syndrome. In addition, the patient showed posture-dependent underdrainage or overdrainage. All symptoms were resolved after distal catheter elongation and floating cranioplasty. We present a case of reversible parkinsonism, which developed in a patient with shunted hydrocephalus and aqueductal stenosis, and discuss the diagnosis and treatment of the sylvian aqueduct syndrome. We also review the literature to address problems of drainage and potential treatment modalities.
Texto completo:
DisponíveL
Índice:
WPRIM (Pacífico Ocidental)
Assunto principal:
Mesencéfalo
/
Doenças do Nervo Oculomotor
/
Aqueduto do Mesencéfalo
/
Drenagem
/
Derivação Ventriculoperitoneal
/
Hipocinesia
/
Transtornos Parkinsonianos
/
Diagnóstico
/
Catéteres
/
Hidrocefalia
Tipo de estudo:
Estudo diagnóstico
Limite:
Humanos
Idioma:
Inglês
Revista:
Journal of Korean Neurosurgical Society
Ano de publicação:
2006
Tipo de documento:
Artigo
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