慢性双侧硬膜下血肿所致可逆性帕金森综合征

Reversible parkinsonism due to chronic bilateral subdural hematomas.

作者信息

Bostantjopoulou Sevasti, Katsarou Zoe, Michael Michael, Petridis Anastasios

机构信息

3rd University Department of Neurology, G. Papanikolaou Hospital, Exohi, Thessaloniki 57010, Greece.

出版信息

J Clin Neurosci. 2009 Mar;16(3):458-60. doi: 10.1016/j.jocn.2008.03.016. Epub 2009 Jan 12.

DOI:10.1016/j.jocn.2008.03.016

PMID:19138853

Abstract

Subdural hematoma is a rare cause of secondary parkinsonism. We report a 65-year-old woman with reversible parkinsonism due to bilateral chronic subdural hematomas. Symmetrical parkinsonism evolved acutely 45 days after a trivial head injury. Mild pyramidal signs were also present on her left side. MRI revealed bilateral chronic subdural hematomas. The patient's parkinsonism was completely abolished one month after successful neurosurgical evacuation of the hematomas.

摘要

硬膜下血肿是继发性帕金森综合征的罕见病因。我们报告了一名65岁女性，因双侧慢性硬膜下血肿导致可逆性帕金森综合征。在一次轻微头部受伤45天后，对称性帕金森综合征急性起病。她左侧还存在轻度锥体束征。磁共振成像显示双侧慢性硬膜下血肿。在成功进行神经外科血肿清除术后一个月，患者的帕金森综合征完全消失。