Reversible parkinsonism secondary to chronic subdural hematoma
Secondary parkinsonism is attributable to a wide variety of causes including supratentorial mass lesions. While tumors are known to present with parkinsonism, chronic subdural hematoma is rarely seen presenting as rapidly deteriorating parkinsonian features with complete disappearance following evac...
Main Authors: | , |
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Format: | Article |
Language: | English |
Published: |
Thieme Medical Publishers, Inc.
2013-01-01
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Series: | Indian Journal of Neurosurgery |
Subjects: | |
Online Access: | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110209 |
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author | Wajid Nazir Wani Kuljeet Singh Anand |
author_facet | Wajid Nazir Wani Kuljeet Singh Anand |
author_sort | Wajid Nazir Wani |
collection | DOAJ |
description | Secondary parkinsonism is attributable to a wide variety of causes including supratentorial mass lesions. While tumors are known to present with parkinsonism, chronic subdural hematoma is rarely seen presenting as rapidly deteriorating parkinsonian features with complete disappearance following evacuation of hematoma. The authors present two such patients—70- and 78-year-old males who presented with sudden onset of parkinsonism features. Both failed to recollect any significant head injury. Imaging diagnosed the presence of chronic subdural hematomas, being unilateral in one and bilateral in other. Surgical evacuation resulted in complete resolution of parkinsonian symptoms. These cases reinforce earlier studies for chronic subdural hematoma to be one of the causes of reversible parkinsonism apparently from distortion of basal ganglia mechanically and bringing changes in dopaminergic function, harming the susceptible aging brain. |
first_indexed | 2024-12-13T15:35:26Z |
format | Article |
id | doaj.art-f1130784c77f4362b21f9ce22807d8ac |
institution | Directory Open Access Journal |
issn | 2277-954X 2277-9167 |
language | English |
last_indexed | 2024-12-13T15:35:26Z |
publishDate | 2013-01-01 |
publisher | Thieme Medical Publishers, Inc. |
record_format | Article |
series | Indian Journal of Neurosurgery |
spelling | doaj.art-f1130784c77f4362b21f9ce22807d8ac2022-12-21T23:40:03ZengThieme Medical Publishers, Inc.Indian Journal of Neurosurgery2277-954X2277-91672013-01-01020108408610.4103/2277-9167.110209Reversible parkinsonism secondary to chronic subdural hematomaWajid Nazir WaniKuljeet Singh AnandSecondary parkinsonism is attributable to a wide variety of causes including supratentorial mass lesions. While tumors are known to present with parkinsonism, chronic subdural hematoma is rarely seen presenting as rapidly deteriorating parkinsonian features with complete disappearance following evacuation of hematoma. The authors present two such patients—70- and 78-year-old males who presented with sudden onset of parkinsonism features. Both failed to recollect any significant head injury. Imaging diagnosed the presence of chronic subdural hematomas, being unilateral in one and bilateral in other. Surgical evacuation resulted in complete resolution of parkinsonian symptoms. These cases reinforce earlier studies for chronic subdural hematoma to be one of the causes of reversible parkinsonism apparently from distortion of basal ganglia mechanically and bringing changes in dopaminergic function, harming the susceptible aging brain.http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110209craniocerebral traumahematomaparkinsonsurgery |
spellingShingle | Wajid Nazir Wani Kuljeet Singh Anand Reversible parkinsonism secondary to chronic subdural hematoma Indian Journal of Neurosurgery craniocerebral trauma hematoma parkinson surgery |
title | Reversible parkinsonism secondary to chronic subdural hematoma |
title_full | Reversible parkinsonism secondary to chronic subdural hematoma |
title_fullStr | Reversible parkinsonism secondary to chronic subdural hematoma |
title_full_unstemmed | Reversible parkinsonism secondary to chronic subdural hematoma |
title_short | Reversible parkinsonism secondary to chronic subdural hematoma |
title_sort | reversible parkinsonism secondary to chronic subdural hematoma |
topic | craniocerebral trauma hematoma parkinson surgery |
url | http://www.thieme-connect.de/DOI/DOI?10.4103/2277-9167.110209 |
work_keys_str_mv | AT wajidnazirwani reversibleparkinsonismsecondarytochronicsubduralhematoma AT kuljeetsinghanand reversibleparkinsonismsecondarytochronicsubduralhematoma |