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Parkinsonism Secondary to Chronic Subdural Hematoma. A Case Report. Masayuki Sugie 1 , Kenji Ishihara 1 , Yuzou Horibe 1 , Mitsuru Kawamura 1 1Department of Neurology, Showa University School of Medicine Keyword: parkinsonism , chronic subdural hematoma , SPECT imaging , the elderly pp.873-878
Published Date 2006/10/1
DOI https://doi.org/10.11477/mf.1406100222
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 We described a case of secondary parkinsonism due to chronic subdural hematoma (CSH). An 83-year-old man developed memory impairment and gait disturbance gradually since one year ago, and these symptoms subacutely deteriorated after he fell down and hit his head. On admission he had moderate cognitive impairment, gait disturbance (wide-based, small steps and initial freezing), postual instability, akinesia and right-sided rigidity. He did not have resting tremor. A CT scan showed a right-sided CSH with marked compression on the left hemisphere, and remarkable decrease of the blood flow in the left cerebral hemisphere was revealed by single photon emission computed tomography. His neurological condition improved gradually through the decrease of the CSH, which suggested the diagnosis of secondary parkinsonism due to CSH.

 We thought that the CSH in the right hemisphere caused right-sided parkinsonism through mechanical compression to the left hemisphere, which was shown in the SPECT image, in this case. Elderly people suffering from subacute progressive parkinsonism, should undergo CT studies be to differentiate the parkinsonism secondary to CSH.


Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 2185-405X 印刷版ISSN 0006-8969 医学書院

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