Early Parkinsonism after Ventriculoperitoneal Shunt for Communicating Hydrocephalus due to Subarachnoid Hemorrhage in Elderly Patient

, Hyun Ju Kim; , In Bok Chang; , Joon Ho Song; , Jae Keun Oh; , Sung Ki Ahn; , Chul Bum Cho

Case Report

Journal of Korean Society of Geriatric Neurosurgery 2012;8(2):184-186.
Published online December 30, 2012.

Early Parkinsonism after Ventriculoperitoneal Shunt for Communicating Hydrocephalus due to Subarachnoid Hemorrhage in Elderly Patient

Hyun Ju Kim , In Bok Chang , Joon Ho Song , Jae Keun Oh , Sung Ki Ahn , Chul Bum Cho

Department of Neurosurgery, Hallym University School of Medicine, Sacred Heart Hospital, Anyang, Korea

Abstract

We report a case of parkinsonism developed early after a ventriculoperitoneal shunt for communicating hydrocephalus due to subarachnoid hemorrhage. 68-year old man who had ruptured anterior communicating artery aneurysm presented hydrocephalus after neck clipping. He underwent a shunt operation. Eight days after shunt, parkinson like symptoms occurred. Follow-up brain computed tomography (CT) showed no evidence of hydrocephalus or shunt malfunction. His symptoms were improved after dopaminergic therapy for 5 months and the medication is needed no longer.

Key Words: ParkinsonismㆍHydrocephalusㆍVentriculoperitoneal shunt