Parkinsonism associated with obstructive hydrocephalus due to idiopathic aqueductal stenosis
Two cases of parkinsonism after recurrent obstructive hydrocephalus due to idiopathic aqueductal stenosis are reported. In both patients an extrapyramidal syndrome was noted in the absence of contemporaneous evidence of hydrocephalus or shunt failure. One of the patients underwent a shunt operation,...
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| Veröffentlicht in: | Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 1998-05, Vol.64 (5), p.657-659 |
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| container_title | Journal of neurology, neurosurgery and psychiatry |
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| creator | Zeidler, M Dorman, P J Ferguson, I T Bateman, D E |
| description | Two cases of parkinsonism after recurrent obstructive hydrocephalus due to idiopathic aqueductal stenosis are reported. In both patients an extrapyramidal syndrome was noted in the absence of contemporaneous evidence of hydrocephalus or shunt failure. One of the patients underwent a shunt operation, but showed no clinical improvement. However, both patients improved after the administration of dopaminergic therapy. The seven previously reported cases of this syndrome were reviewed and it is concluded that the prognosis of the parkinsonism is good, usually with total, or near total, resolution. It is recommended that if a patient with idiopathic aqueduct stenosis develops hydrocephalus or evidence of shunt malfunction in association with acute parkinsonism their shunt should be replaced. If there is no evidence of hydrocephalus or shunt malfunction they should initially be treated with domaminergic medication. |
| doi_str_mv | 10.1136/jnnp.64.5.657 |
| format | Article |
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In both patients an extrapyramidal syndrome was noted in the absence of contemporaneous evidence of hydrocephalus or shunt failure. One of the patients underwent a shunt operation, but showed no clinical improvement. However, both patients improved after the administration of dopaminergic therapy. The seven previously reported cases of this syndrome were reviewed and it is concluded that the prognosis of the parkinsonism is good, usually with total, or near total, resolution. It is recommended that if a patient with idiopathic aqueduct stenosis develops hydrocephalus or evidence of shunt malfunction in association with acute parkinsonism their shunt should be replaced. If there is no evidence of hydrocephalus or shunt malfunction they should initially be treated with domaminergic medication.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp.64.5.657</identifier><identifier>PMID: 9598684</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; Antiparkinson Agents - therapeutic use ; aqueductal stenosis ; Asthma ; Biological and medical sciences ; Cerebral Aqueduct - pathology ; Cerebral Ventricles - pathology ; Cerebrospinal fluid. Meninges. Spinal cord ; Combined Modality Therapy ; Constriction, Pathologic ; Equipment Failure ; Female ; Gait ; Humans ; Hydrocephalus ; Hydrocephalus - diagnosis ; Hydrocephalus - therapy ; Magnetic Resonance Imaging ; Male ; Medical sciences ; Middle Aged ; Nervous system (semeiology, syndromes) ; Neurology ; Parkinson Disease - diagnosis ; Parkinson Disease - therapy ; Parkinsonian syndrome ; Postoperative Complications - diagnosis ; Postoperative Complications - therapy ; Recurrence ; Short Report ; Tomography, X-Ray Computed ; Ventriculoperitoneal Shunt</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 1998-05, Vol.64 (5), p.657-659</ispartof><rights>Journal of Neurology, Neurosurgery, and Psychiatry</rights><rights>1998 INIST-CNRS</rights><rights>Copyright: 1998 Journal of Neurology, Neurosurgery, and Psychiatry</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b510t-6607c6afcabfbc00ad623d4deee98b9bed48cd13f70bf01a2206946c3e302c563</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2170081/pdf/$$EPDF$$P50$$Gpubmedcentral$$H</linktopdf><linktohtml>$$Uhttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC2170081/$$EHTML$$P50$$Gpubmedcentral$$H</linktohtml><link.rule.ids>230,309,310,314,727,780,784,789,790,885,23930,23931,25140,27924,27925,53791,53793</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=2230528$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/9598684$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zeidler, M</creatorcontrib><creatorcontrib>Dorman, P J</creatorcontrib><creatorcontrib>Ferguson, I T</creatorcontrib><creatorcontrib>Bateman, D E</creatorcontrib><title>Parkinsonism associated with obstructive hydrocephalus due to idiopathic aqueductal stenosis</title><title>Journal of neurology, neurosurgery and psychiatry</title><addtitle>J Neurol Neurosurg Psychiatry</addtitle><description>Two cases of parkinsonism after recurrent obstructive hydrocephalus due to idiopathic aqueductal stenosis are reported. In both patients an extrapyramidal syndrome was noted in the absence of contemporaneous evidence of hydrocephalus or shunt failure. One of the patients underwent a shunt operation, but showed no clinical improvement. However, both patients improved after the administration of dopaminergic therapy. The seven previously reported cases of this syndrome were reviewed and it is concluded that the prognosis of the parkinsonism is good, usually with total, or near total, resolution. It is recommended that if a patient with idiopathic aqueduct stenosis develops hydrocephalus or evidence of shunt malfunction in association with acute parkinsonism their shunt should be replaced. If there is no evidence of hydrocephalus or shunt malfunction they should initially be treated with domaminergic medication.</description><subject>Adult</subject><subject>Antiparkinson Agents - therapeutic use</subject><subject>aqueductal stenosis</subject><subject>Asthma</subject><subject>Biological and medical sciences</subject><subject>Cerebral Aqueduct - pathology</subject><subject>Cerebral Ventricles - pathology</subject><subject>Cerebrospinal fluid. Meninges. Spinal cord</subject><subject>Combined Modality Therapy</subject><subject>Constriction, Pathologic</subject><subject>Equipment Failure</subject><subject>Female</subject><subject>Gait</subject><subject>Humans</subject><subject>Hydrocephalus</subject><subject>Hydrocephalus - diagnosis</subject><subject>Hydrocephalus - therapy</subject><subject>Magnetic Resonance Imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Nervous system (semeiology, syndromes)</subject><subject>Neurology</subject><subject>Parkinson Disease - diagnosis</subject><subject>Parkinson Disease - therapy</subject><subject>Parkinsonian syndrome</subject><subject>Postoperative Complications - diagnosis</subject><subject>Postoperative Complications - therapy</subject><subject>Recurrence</subject><subject>Short Report</subject><subject>Tomography, X-Ray Computed</subject><subject>Ventriculoperitoneal Shunt</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqFkc1rFDEYh4ModVs9ehQGFOll1nxMMpmLIIu1wmIr1upBCJkk42SdScYkU9v_3iy7rB8XQyCH38Ob930fAJ4guESIsJcb56Ylq5Z0yWh9DyxQxXhJCPxyHywgxLgkkMKH4DjGDdwe3hyBo4Y2nPFqAb5eyvDduuidjWMhY_TKymR08dOmvvBtTGFWyd6Yor_TwSsz9XKYY6FnUyRfWG39JFNvVSF_zEZnVg5FTMb5aOMj8KCTQzSP9-8J-HT25mp1Xq4v3r5bvV6XLUUwlYzBWjHZKdl2rYJQaoaJrrQxpuFt0xpdcaUR6WrYdhBJjCFrKqaIIRArysgJeLWrO83taLQyLgU5iCnYUYY74aUVfyfO9uKbvxEY1XkhKBd4sS8QfB4jJjHaqMwwSGf8HEXd8HybOoPP_gE3fg4uDydQzRGFDYc0U-WOUsHHGEx3aAVBsZUmttIEqwQVWVrmn_7Z_4HeW8r5830uo5JDF6RTNh4wjLNizH9_a7OA20OcBQtWk5qK99cr8fHz-vrq_MNarDJ_uuPbcfOfDn8BgjzAQQ</recordid><startdate>19980501</startdate><enddate>19980501</enddate><creator>Zeidler, M</creator><creator>Dorman, P J</creator><creator>Ferguson, I T</creator><creator>Bateman, D E</creator><general>BMJ Publishing Group Ltd</general><general>BMJ</general><general>BMJ Publishing Group LTD</general><general>BMJ Group</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>19980501</creationdate><title>Parkinsonism associated with obstructive hydrocephalus due to idiopathic aqueductal stenosis</title><author>Zeidler, M ; Dorman, P J ; Ferguson, I T ; Bateman, D E</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b510t-6607c6afcabfbc00ad623d4deee98b9bed48cd13f70bf01a2206946c3e302c563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>Adult</topic><topic>Antiparkinson Agents - therapeutic use</topic><topic>aqueductal stenosis</topic><topic>Asthma</topic><topic>Biological and medical sciences</topic><topic>Cerebral Aqueduct - pathology</topic><topic>Cerebral Ventricles - pathology</topic><topic>Cerebrospinal fluid. Meninges. Spinal cord</topic><topic>Combined Modality Therapy</topic><topic>Constriction, Pathologic</topic><topic>Equipment Failure</topic><topic>Female</topic><topic>Gait</topic><topic>Humans</topic><topic>Hydrocephalus</topic><topic>Hydrocephalus - diagnosis</topic><topic>Hydrocephalus - therapy</topic><topic>Magnetic Resonance Imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Parkinson Disease - diagnosis</topic><topic>Parkinson Disease - therapy</topic><topic>Parkinsonian syndrome</topic><topic>Postoperative Complications - diagnosis</topic><topic>Postoperative Complications - therapy</topic><topic>Recurrence</topic><topic>Short Report</topic><topic>Tomography, X-Ray Computed</topic><topic>Ventriculoperitoneal Shunt</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zeidler, M</creatorcontrib><creatorcontrib>Dorman, P J</creatorcontrib><creatorcontrib>Ferguson, I T</creatorcontrib><creatorcontrib>Bateman, D E</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database (ProQuest)</collection><collection>Health & Medical Collection (Proquest)</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Science Database (Alumni Edition)</collection><collection>STEM Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection (Proquest) (PQ_SDU_P3)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>PML(ProQuest Medical Library)</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest Science Journals</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zeidler, M</au><au>Dorman, P J</au><au>Ferguson, I T</au><au>Bateman, D E</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Parkinsonism associated with obstructive hydrocephalus due to idiopathic aqueductal stenosis</atitle><jtitle>Journal of neurology, neurosurgery and psychiatry</jtitle><addtitle>J Neurol Neurosurg Psychiatry</addtitle><date>1998-05-01</date><risdate>1998</risdate><volume>64</volume><issue>5</issue><spage>657</spage><epage>659</epage><pages>657-659</pages><issn>0022-3050</issn><eissn>1468-330X</eissn><coden>JNNPAU</coden><abstract>Two cases of parkinsonism after recurrent obstructive hydrocephalus due to idiopathic aqueductal stenosis are reported. In both patients an extrapyramidal syndrome was noted in the absence of contemporaneous evidence of hydrocephalus or shunt failure. One of the patients underwent a shunt operation, but showed no clinical improvement. However, both patients improved after the administration of dopaminergic therapy. The seven previously reported cases of this syndrome were reviewed and it is concluded that the prognosis of the parkinsonism is good, usually with total, or near total, resolution. It is recommended that if a patient with idiopathic aqueduct stenosis develops hydrocephalus or evidence of shunt malfunction in association with acute parkinsonism their shunt should be replaced. If there is no evidence of hydrocephalus or shunt malfunction they should initially be treated with domaminergic medication.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>9598684</pmid><doi>10.1136/jnnp.64.5.657</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of neurology, neurosurgery and psychiatry, 1998-05, Vol.64 (5), p.657-659 |
| issn | 0022-3050 1468-330X |
| language | eng |
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| source | MEDLINE; PubMed Central; Alma/SFX Local Collection; EZB Electronic Journals Library |
| subjects | Adult Antiparkinson Agents - therapeutic use aqueductal stenosis Asthma Biological and medical sciences Cerebral Aqueduct - pathology Cerebral Ventricles - pathology Cerebrospinal fluid. Meninges. Spinal cord Combined Modality Therapy Constriction, Pathologic Equipment Failure Female Gait Humans Hydrocephalus Hydrocephalus - diagnosis Hydrocephalus - therapy Magnetic Resonance Imaging Male Medical sciences Middle Aged Nervous system (semeiology, syndromes) Neurology Parkinson Disease - diagnosis Parkinson Disease - therapy Parkinsonian syndrome Postoperative Complications - diagnosis Postoperative Complications - therapy Recurrence Short Report Tomography, X-Ray Computed Ventriculoperitoneal Shunt |
| title | Parkinsonism associated with obstructive hydrocephalus due to idiopathic aqueductal stenosis |
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