Abstract
Two cases of obstructive hydrocephalus who suffered multiple shunt failures and shunt revisions are presented. The patients developed after the neurochirurgical treatment a clinical syndrome of akinetic mutism followed by a Progressive Supranuclear Palsy-like (PSP) syndrome. The akinetic mutism and the PSP-like syndrome were remarkably improved with bromocriptine.
MeSH terms
-
Adult
-
Akinetic Mutism / etiology*
-
Antiparkinson Agents / therapeutic use
-
Atrophy / diagnostic imaging
-
Atrophy / pathology
-
Bromocriptine / therapeutic use
-
Humans
-
Hydrocephalus / diagnosis
-
Hydrocephalus / surgery*
-
Male
-
Mesencephalon / diagnostic imaging
-
Mesencephalon / pathology
-
Neurosurgical Procedures
-
Severity of Illness Index
-
Supranuclear Palsy, Progressive / drug therapy
-
Supranuclear Palsy, Progressive / etiology*
-
Tomography, X-Ray Computed
-
Ventriculoperitoneal Shunt / adverse effects*
Substances
-
Antiparkinson Agents
-
Bromocriptine