Inoue H, Udaka F, Takahashi M, Nishinaka K, Kameyama M
Department of Neurology, Sumitomo Hospital.
Rinsho Shinkeigaku. 1997 Mar;37(3):266-9.
We report a patient who developed right sided cogwheel rigidity and resting tremor after left midbrain hemorrhage. Brain magnetic resonance imaging (MRI) showed left midbrain old hemorrhage including substantia nigra. I-123 iodoamphetamine single photon emission computed tomography (IMP-SPECT) images showed reduced radioisotope (RI)-uptake in the left striatum, thalamus and frontal lobe. Our report shows that focal midbrain lesion can produce parkinsonism.