PMID: 11921132Mar 29, 2002Paper

Dopa-responsive parkinsonism secondary to right temporal lobe haemorrahage

Movement Disorders : Official Journal of the Movement Disorder Society
Monica J LingJohn G L Morris

Abstract

A 46-year-old man developed a symmetrical parkinsonian syndrome 7 weeks after large right temporal intracerebral haemorrhage resulting from a ruptured arteriovenous malformation. His signs included bradykinesia, rigidity, start hesitation, and poor postural reflexes, without a resting tremor. He also had signs of a Parinaud's syndrome. Computed tomography and magnetic resonance imaging of the brain demonstrated changes in the right temporal lobe associated with the haemorrhage but no abnormality of the basal ganglia or midbrain. Levodopa therapy produced a dramatic improvement within a few days of commencement. We postulate that the parkinsonism resulted from midbrain compression secondary to transtentorial herniation. Although parkinsonism is a rare complication of lobar intracerebral haemorrhage, it is important to recognise as it may be potentially treatable.

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Citations

Apr 9, 2011·The Canadian Journal of Neurological Sciences. Le Journal Canadien Des Sciences Neurologiques·Vivien TangDavid Grimes
May 1, 2009·Journal of Movement Disorders·Bosuk ParkPhil Hyu Lee
Sep 2, 2008·Movement Disorders : Official Journal of the Movement Disorder Society·Seung-Jae LeeJoong-Seok Kim
Apr 9, 2014·Journal of Neuroimaging : Official Journal of the American Society of Neuroimaging·Scott A NorrisJoel S Perlmutter
Jul 17, 2007·Behavioural Brain Research·Jason R CannonTimothy Schallert
Mar 23, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Evzen RůzickaVilibald Vladyka
Oct 15, 2014·Nature Reviews. Neurology·Bart Swinnen, Wim Robberecht
Apr 29, 2015·Nature Reviews. Neurology·Amos D Korczyn
Jul 10, 2018·Brain : a Journal of Neurology·Juho JoutsaMichael D Fox
Jul 28, 2021·Clinical Neurology and Neurosurgery·Achmad FahmiAgus Turchan

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