Levodopa-responsive parkinsonism following central herniation due to bilateral subdural hematomas.
case_report · Level V
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Abstract
A 66-year-old man suffered bilateral subdural hematomas progressing to central herniation, despite repeated surgical evacuations. This eventually resolved, leaving him with a severe parkinsonian syndrome that was responsive to levodopa. MRI and CT showed midbrain compression from central herniation, and a follow-up MRI revealed thinning of the pars compacta. The clinical and radiologic evidence suggested that midbrain compression from central herniation was the probable cause of parkinsonism in this patient.
Medical subject headings
- Encephalocele
- Hematoma, Subdural
- Levodopa
- Parkinson Disease, Secondary