Pisa Syndrome in a Patient with Alzheimer's Disease and Concomitant Normal Pressure Hydrocephalus: A Case Report.
- Author:
Oh Dae KWON
1
Author Information
1. Department of Neurology, School of Medicine, Catholic University of Daegu, Daegu, Korea. dolbaeke@cu.ac.kr
- Publication Type:Case Report
- Keywords:
Alzheimer disease;
Normal pressure hydrocephalus;
Pisa syndrome
- MeSH:
Acetylcholinesterase;
Aged;
Alzheimer Disease;
Antipsychotic Agents;
Cognition;
Gait;
Humans;
Hydrocephalus, Normal Pressure;
Ventriculoperitoneal Shunt
- From:Journal of the Korean Neurological Association
2008;26(1):73-77
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Extrapyramidal symptoms are common in patients with advanced Alzheimer's disease and have various etiologies. We report a 65-year-old man with probable Alzheimer's disease (AD) who concomitantly developed Pisa syndrome, ataxic gait, postural instability and voiding difficulty. Pisa syndrome improved after the discontinuation of acetylcholinesterase inhibitor (AchEI) and antipsychotics. However his ataxic gait and voiding symptoms persisted. A ventriculo-peritoneal shunt operation eliminated the symptoms except for cognition. We report Pisa syndrome in a patient with Alzheimer's disease and concomitant normal pressure hydrocephalus.
