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Akinetic Mutism and Parkinsonism Associated with Obstructive Hydrocephalus

Published online by Cambridge University Press:  18 September 2015

L. Berger ,
S. Gauthier  and
R. Leblanc
L. Berger
Affiliation:
Montreal Neurological Institute, Montreal
S. Gauthier*
Affiliation:
Montreal Neurological Institute, Montreal
R. Leblanc
Affiliation:
Montreal Neurological Institute, Montreal
*
Montreal Neurological Institute, 3801 University Street. Montreal. Quebec H3A 2B4
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Abstract:

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We report the case of a patient with idiopathic aqueductal stenosis and hydrocephalus who had several episodes of akinetic mutism, each preceded by shunt malfunction, that resolved with shunt revision. She also developed a parkinson’s syndrome resistant to shunt revision but responsive to antiparkinsonian medications. The Parkinson’s syndrome and the episodes of akinetic mutism may be related to a reduction of dopaminergic input to the striatum and to the cingulate and frontal cortex brought about or worsened by ventricular dilatation.

Type
Original Articles
Information
Canadian Journal of Neurological Sciences , Volume 12 , Issue 3 , August 1985 , pp. 255 - 258
Copyright
Copyright © Canadian Neurological Sciences Federation 1985

References

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