J Korean Neurol Assoc.
2016 Nov;34(5):363-366. 10.17340/jkna.2016.4.14.
Progressive Supranuclear Palsy-Like Syndrome after Surgical Repair of Chronic Ascending Aorta Dissection
- Affiliations
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- 1Department of Neurology, Hanyang University College of Medicine, Seoul, Korea. kimht@hanyang.ac.kr
- 2Department of Neurology, H Plus Yang Ji Hospital, Seoul, Korea.
- KMID: 2359451
- DOI: http://doi.org/10.17340/jkna.2016.4.14
Abstract
- A 70-year-old woman underwent cardiopulmonary bypass surgery for aorta dissection. After 10 days she developed a vertical gaze palsy, and 2 months later she presented with dysarthria, bradykinesia, postural instability, blepharospasm, and truncal tilt to the left. Brain imaging indicated old lacunes in the bilateral thalamus. Her symptoms remained unchanged during a 4-year follow-up, which seems to be incompatible with progressive supranuclear palsy (PSP). However, the clinical features of this case were suggestive of PSP-like syndrome after cardiopulmonary bypass surgery.
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