Severe Parkinsonism Following Endoscopic Third Ventriculostomy for Non-communicating Hydrocephalus : Case Report
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概要
- 論文の詳細を見る
A 23-year-old male with non-communicating hydrocephalus caused by intraventricular hemorrhage from an arteriovenous malformation was treated by endoscopic third ventriculostomy (ETV) after repeated ventricular cerebrospinal fluid drainage and removal of ventriculoperitoneal shunt due to infection. Postoperatively, the patient developed robust rigidity and akinesia with mutism, suggesting secondary parkinsonism. These symptoms showed marked improvement after administration of levodopa, and were not aggravated after discontinuation. The pathophysiology of this case might involve dysfunction of the dopaminergic system caused by repeated compression and release of the paraventricular white matter. Careful perioperative management not leading to excessive dilation of the the ventricles should be considered for ETV for non-communicating hydrocephalus to avoid this unexpected complication.
- 社団法人 日本脳神経外科学会の論文
- 2011-01-15
著者
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AKIYAMA Takenori
Department of Neurosurgery, Keio University School of Medicine
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TANIZAKI Yoshio
Department of Neurosurgery, Mihara Memorial Hospital
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AKAJI Kazunori
Department of Neurosurgery, Mihara Memorial Hospital
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HIRAGA Kenji
Department of Neurosurgery, Mihara Memorial Hospital
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AKIYAMA Takekazu
Department of Neurosurgery, Mihara Memorial Hospital
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OHIRA Takayuki
Department of Neurosurgery, Keio University School of Medicine
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Takao Masaki
Department Of Neurology Mihara Memorial Hospital
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Hiraga Kenji
Department Of Neurosurgery School Of Medicine Keio University
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Ohira Takayuki
Department Of Neurosurgery And Ent School Of Medicine Keio University
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Akaji Kazunori
Department Of Neurosurgery Ashikaga Red Cross Hospital
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Tanizaki Yoshio
Department Of Neurosurgery Institute Of Brain And Blood Vessels
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Akiyama Takenori
Department Of Neurosurgery Keio University School Of Medicine
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Akiyama Takekazu
Department Of Neurosurgery Mihara Memorial Hospital
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Hiraga Kenji
Department Of Neurosurgery Mihara Memorial Hospital
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Akiyama Takekazu
Department Of Neurosurgery Keio University School Of Medicine
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Ohira Takayuki
Department of Macromolecular Science and Engineering, Kyoto Institute of Technology, Matsugasaki, Sakyo-ku, Kyoto 606-8585, Japan
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Takao Masaki
Department of Cognitive and Intractable Neurological Disorders, Mihara Memorial Hospital
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