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Parkinsonism — Dementia Complex, Hydrocephalus and Paget’s Disease

Published online by Cambridge University Press:  15 November 2018

M. I. Botez ,
Gilles Bertrand ,
Jean Léveillé  and
Luc Marchand
M. I. Botez*
Affiliation:
Hôtel-Dieu Hospital, Neurosurgical Service of Montreal Neurological Hospital and , Clinical Research Institute of Montreal, Montreal, Canada
Gilles Bertrand
Affiliation:
Hôtel-Dieu Hospital, Neurosurgical Service of Montreal Neurological Hospital and , Clinical Research Institute of Montreal, Montreal, Canada
Jean Léveillé
Affiliation:
Hôtel-Dieu Hospital, Neurosurgical Service of Montreal Neurological Hospital and , Clinical Research Institute of Montreal, Montreal, Canada
Luc Marchand
Affiliation:
Hôtel-Dieu Hospital, Neurosurgical Service of Montreal Neurological Hospital and , Clinical Research Institute of Montreal, Montreal, Canada
*
Clinical Research Institute of Montreal, 110 Pine Avenue West, Montreal, Que., H2W 1R7 Canada
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Summary

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A 65-year-old female patient with Paget’s disease displayed dementia, a bilateral Parkinsonian syndrome, gait ataxia, bilateral grasp reflex of the feet, urinary incontinence and a left hemicerebellar syndrome. She had a marked basilar impression; the radionuclide cisterno gram was suggestive of a communicating hydrocephalus with ventricular dilatation. After a shunting procedure there was improvement in both neurological and mental function.

Résumé

Résumé

Les auteurs présentent l’observation clinique d’une patiente âgée de 65 ans qui avait une maladie de Paget avec démence, syndrome Parkinsonien bilatéral, ataxie de la marche, réflexe de préhension des pieds, incontinence urinaire et un hémisyndrome cérébelleux gauche. La radiographie du crâne a montré une invagination basilaire; la scintycisternographie avec III. In a mis en évidence une hydrocéphalie communicante. On a pratiqué une dérivation ventriculo-atriale qui a amené une amélioration autant du point de vue neurologique que du point de vue psychique.

Type
Research Article
Information
Canadian Journal of Neurological Sciences , Volume 4 , Issue 2 , May 1977 , pp. 139 - 142
Copyright
Copyright © Canadian Neurological Sciences Federation 1977

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