Akinetic Mutism Responsive to Bromocriptine Following Subdural Hematoma Evacuation in a Patient With Hydrocephalus : Case Report
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概要
- 論文の詳細を見る
An 11-year-old girl with obstructive hydrocephalus developed akinetic mutism after treatment for hydrocephalus due to aqueductal stenosis by ventriculoperitoneal (VP) shunting. Bilateral chronic subdural hematomas developed about 2 months after insertion of the VP shunt and were evacuated. Postoperatively, the patient developed akinetic mutism, but her condition improved after administration of bromocriptine. Absence of abnormalities on dopamine transporter single photon emission computed tomography, lack of clinical response to levodopa treatment, and normal homovanillic acid concentration in the cerebrospinal fluid all indicated normal dopamine production. Pressure on the periventricular monoamine projections in the thalamus and hypothalamus without major dopamine deprivation in the striatum may have been the most important factors in the development of akinetic mutism in this patient.
- 社団法人 日本脳神経外科学会の論文
- 2007-09-15
著者
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LEE Seung
Department of Dermatology and Human Barrier Research Institute, Yonsei University College of Medicin
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Lee Chae
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Kim Myoung
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Lee Chae
Department Of Dermatology Seoul National University College Of Medicine
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Rhee Jong
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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KWON Seon-Joo
Department of Neurology, Seoul Paik Hospital, Inje University College of Medicine
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Kwon Seon-joo
Department Of Neurology Seoul Paik Hospital Inje University College Of Medicine
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Kim Myoung
Department Of Computer Science Kaist
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Lee Seung
Department Of Anesthesiology And Pain Medicine Dong-a University Hospital
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Lee Seung
Department Of Neurosurgery Seoul Paik Hospital Inje University College Of Medicine
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Rhee Jong
Department Of Internal Medicine Samsung Medical Center Sungkyunkwan University School Of Medicine
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Kim Myoung
Department Of Anesthesiology Paik Hospital Inje University
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RHEE Jong
Department of Information and Communications Engineering, Myongji University
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