دورية أكاديمية
Unusual idiopathic normal pressure hydrocephalus patient with marked asymmetric and upper body parkinsonism
| العنوان: | Unusual idiopathic normal pressure hydrocephalus patient with marked asymmetric and upper body parkinsonism |
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| المؤلفون: | Kyunghun Kang, Dongho Choi, Ho-Won Lee |
| المصدر: | Annals of Indian Academy of Neurology, Vol 19, Iss 2, Pp 245-248 (2016) |
| بيانات النشر: | Wolters Kluwer Medknow Publications, 2016. |
| سنة النشر: | 2016 |
| المجموعة: | LCC:Neurology. Diseases of the nervous system |
| مصطلحات موضوعية: | Normal pressure hydrocephalus, parkinsonism, Parkinson's disease, Neurology. Diseases of the nervous system, RC346-429 |
| الوصف: | Asymmetry of parkinsonian symptoms is strong evidence toward the diagnosis of Parkinson's disease (PD). Lower body parkinsonism is characteristic in idiopathic normal pressure hydrocephalus (INPH). We report an unusual INPH patient with marked asymmetric and upper body parkinsonism. An 83-year-old man presented with gait impairment and asymmetric clumsiness of movement. According to the Unified Parkinson's Disease Rating Scale (UPDRS), the motor subscore was 12 in the left limb and 8 in the right. The score was 14 for both the upper and lower body. After the cerebrospinal fluid tap test (CSFTT), he showed marked improvement in the upper body score. A loss of asymmetry of parkinsonian signs, with greater improvement in the left limb, was presented. Fluorinated N-3-fluoropropyl-2β-carbomethoxy-3β-(4-iodophenyl)-nortropane (F-18 FP-CIT) positron emission tomography (PET) imaging was normal. In the differential diagnosis of elderly patients presenting with parkinsonism compatible with PD, we might need to consider a diagnosis of INPH. |
| نوع الوثيقة: | article |
| وصف الملف: | electronic resource |
| اللغة: | English |
| تدمد: | 0972-2327 1998-3549 |
| العلاقة: | http://www.annalsofian.org/article.asp?issn=0972-2327;year=2016;volume=19;issue=2;spage=245;epage=248;aulast=KangTest; https://doaj.org/toc/0972-2327Test; https://doaj.org/toc/1998-3549Test |
| DOI: | 10.4103/0972-2327.160057 |
| الوصول الحر: | https://doaj.org/article/851d468078c541008ab9c844e109a22aTest |
| رقم الانضمام: | edsdoj.851d468078c541008ab9c844e109a22a |
| قاعدة البيانات: | Directory of Open Access Journals |
Full Text Finder | تدمد: | 09722327 19983549 |
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| DOI: | 10.4103/0972-2327.160057 |