Parkinsonism Secondary to Hydrocephalus Caused by Neurocysticercosis.

Autor: Oliveira SCS; Neurological Surgery, Federal University of Ceara, Sobral, BRA., Monteiro DAM; Neurology, Federal University of Ceara, Sobral, BRA., Silva GF; Neurological Surgery, Federal University of Ceara, Sobral, BRA., Santos LTR; Internal Medicine, Federal University of Ceara, Sobral, BRA., Ribeiro EML; Neurology, Federal University of Ceara, Sobral, BRA.
Jazyk: angličtina
Zdroj: Cureus [Cureus] 2020 Apr 29; Vol. 12 (4), pp. e7887. Date of Electronic Publication: 2020 Apr 29.
DOI: 10.7759/cureus.7887
Abstrakt: The diagnosis of parkinsonism is established by the presence of tremor, stiffness and bradykinesia alongside with neurological examination, requiring the exclusion of secondary causes such as stroke, hydrocephalus and infectious diseases. Included in this last category, neurocysticercosis is a disease caused by Taenia solium, with a variable clinical presentation that can include epileptic seizures, hydrocephalus and rarely parkinsonism. In the reported case, the syndrome is a consequence of lesions in the nigrostriatal dopaminergic pathway caused by the implant and mass effect of the cysticercus. The authors report a case of parkinsonism in a 59-year-old woman with a previous history of neurocysticercosis who presented with hydrocephalus on magnetic resonance imaging exam. The patient was treated with pharmacological therapy and ventriculoperitoneal shunt, progressing with amelioration of the symptoms presented.
Competing Interests: The authors have declared that no competing interests exist.
(Copyright © 2020, Oliveira et al.)
Databáze: MEDLINE