Document Detail

Meningioma presenting as bilateral parkinsonism.
MedLine Citation:
PMID:  12851195     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: a 63-year-old woman presented with an 18-year history of tremor, rigidity and akinesia. There was no response to treatment with either levodopa or pergolide. Later a focal neurological deficit developed, which led to a diagnosis of fronto-parietal meningioma. OUTCOME: surgical excision of the meningioma abolished the parkinsonism. CONCLUSION: cerebral tumour is an uncommon cause of parkinsonism. Symptoms probably occur due to compression and distortion of the basal ganglia and nigrostriatal pathway. Diagnosis of the underlying pathology can be delayed by this presentation. Since complete recovery is possible parkinsonian patients with atypical symptoms, poor response to dopaminergic drugs, and focal neurological signs should undergo neuroimaging.
Vedamurthy Adhiyaman; Jolyon Meara
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Age and ageing     Volume:  32     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  2003 Jul 
Date Detail:
Created Date:  2003-07-09     Completed Date:  2004-03-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  England    
Other Details:
Languages:  eng     Pagination:  456-8     Citation Subset:  IM    
University Department of Geriatric Medicine (North Wales), Glan Clwyd District Hospital, Rhyl, Denbighshire LL18 5UJ, UK.
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MeSH Terms
Meningeal Neoplasms / radiography*,  surgery
Meningioma / radiography*,  surgery
Middle Aged
Parkinsonian Disorders / etiology,  radiography*

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