Prashantha D K, Netravathi M, Ravishankar S, Panda Samhita, Pal Pramod Kumar
Department of Neurology, National Institute of Mental Health & Neurosciences, Bangalore, India.
Clin Neurol Neurosurg. 2008 Jul;110(7):718-21. doi: 10.1016/j.clineuro.2008.03.008. Epub 2008 Apr 25.
Parkinsonism with evidence of midbrain dysfunction has been reported in a few patients with aqueductal stenosis after placement of ventriculoperitoneal (VP) shunt. The response to levodopa is variable. We report a patient with neurocysticercosis of the fourth ventricle who developed transient parkinsonism without evidence of midbrain dysfunction after placement of a VP shunt. The frequency of tremor was 5-5.5 Hz. Though the response to levodopa was initially slow, later it was significant, and after 3 months he was asymptomatic without levodopa. The exact pathophysiology of parkinsonism in our patient remained obscure.
在少数患有导水管狭窄的患者中，在进行脑室腹腔（VP）分流术后出现了伴有中脑功能障碍证据的帕金森综合征。对左旋多巴的反应各不相同。我们报告了一名患有第四脑室神经囊尾蚴病的患者，在进行VP分流术后出现了短暂性帕金森综合征，但没有中脑功能障碍的证据。震颤频率为5 - 5.5赫兹。虽然最初对左旋多巴的反应较慢，但后来效果显著，3个月后未服用左旋多巴时他已无症状。我们患者帕金森综合征的确切病理生理学仍不清楚。
