Journal
CLINICAL NEUROLOGY AND NEUROSURGERY
Volume 110, Issue 7, Pages 718-721Publisher
ELSEVIER SCIENCE BV
DOI: 10.1016/j.clineuro.2008.03.008
Keywords
parkinsonism; hydrocephalus; ventriculoperitoneal shunt; neurocysticercosis
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Parkinsonism with evidence of midbrain dysfunction has been reported in a few patients with aqueductal stenosis after placement of ventriculoperitoneal (VP) shunt. The response to levodopa is variable. We report a patient with neurocysticercosis of the fourth ventricle who developed transient parkinsonism without evidence of midbrain dysfunction after placement of a VP shunt. The frequency of tremor was 5-5.5 Hz. Though the response to levodopa was initially slow, later it was significant, and after 3 months he was asymptomatic without levodopa. The exact pathophysiology of parkinsonism in our patient remained obscure. (c) 2008 Elsevier B.V. All rights reserved.
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