Astrocytoma in the Third Ventricle and Hypothalamus Presenting with Parkinsonism.
10.3340/jkns.2012.51.3.144
- Author:
Kang Ho CHOI
1
;
Seong Min CHOI
;
Tai Seung NAM
;
Min Cheol LEE
Author Information
1. Department of Neurology, Chonnam National University Hospital, Gwangju, Korea. movement@chonnam.ac.kr
- Publication Type:Case Report
- Keywords:
Astrocytoma;
Brain tumor;
Hypothalamus;
Parkinsonism
- MeSH:
Adult;
Astrocytoma;
Basal Ganglia;
Brain Neoplasms;
Cranial Nerves;
Female;
Humans;
Hypothalamus;
Mesencephalon;
Neuroimaging;
Neurologic Manifestations;
Parkinson Disease, Secondary;
Parkinsonian Disorders;
Pyramidal Tracts;
Third Ventricle;
Ventriculoperitoneal Shunt
- From:Journal of Korean Neurosurgical Society
2012;51(3):144-146
- CountryRepublic of Korea
- Language:English
-
Abstract:
Parkinsonism secondary to intracranial mass lesions usually results from compression or distortion of the basal ganglia. Secondary parkinsonism due to midbrain infiltration or compression is rare and generally associated with other neurologic signs caused by pyramidal tract and/or cranial nerve involvement. We report a case of 30-year-old woman in whom mild parkinsonism was the major clinical manifestation of an astrocytoma in the anterior third ventricle and hypothalamus. She underwent surgical resection, ventriculoperitoneal shunt and radiation therapy. All symptoms of parkinsonism were completely recovered 3 months after the treatment. Brain tumors can be manifested only by the symptoms of parkinsonism. This case emphasizes the significance of neuroimaging in the evaluation of parkinsonism.
