J Korean Neurosurg Soc.  1990 Jun;19(6):867-872.

Shunt Malfunction Manifested by Parkinsonism: Case Report

Affiliations
  • 1Department of Pediatric Neurosurgery, Seoul National University College of Medicine, Seoul, Korea.
  • 2Department of Neurosurgery & Pediatrics, Seoul National University College of Medicine, Seoul, Korea.

Abstract

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.

Keyword

Normal pressure hydrocephalus(NPH); Parkinsonism children; Ventriculoperitoneal shunt(VP shunt)

MeSH Terms

Child
Drug Therapy
Humans
Parkinsonian Disorders*
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