Journal of Korean Neurosurgical Society

The Korean Neurosurgical Society (대한신경외과학회)
권호 표지

Obstructive Hydrocephalus Induced Tremor in Patient with Mesencephalic Lacunae

  • Lee, Kyung-Jin (Department of Neurosurgery, Catholic Neuroscience Center, The Catholic University of Korea) ;
  • Joo, Won-Il (Department of Neurosurgery, Catholic Neuroscience Center, The Catholic University of Korea) ;
  • Kim, Moon-Chan (Department of Neurosurgery, Catholic Neuroscience Center, The Catholic University of Korea) ;
  • Choi, Chang-Rak (Department of Neurosurgery, Catholic Neuroscience Center, The Catholic University of Korea)
  • Published : 2005.06.28
Download PDF
⟨ Previous Next ⟩

Abstract

We report a case of hydrocephalus in a 8-year-old boy who presented bilateral hand tremor. The hydrocephalus was caused by the aqueductal stenosis due to expanding lacunae in the mesencephalothalamic area on MR findings. The tremor was improved after CSF drainage by spinal tap and ventriculoperitoneal shunt. The authors present the possible mechanism of hydrocephalus induced tremor.

Keywords

References

  1. Fahn S, Tolosa E, Marin C : Clinical rating scale for tremor in Jankovic J, Tolosa E, (eds) : Parkinson's disease and movement disorders, Baltimore : Williams and Wilkins, 1993, pp271-280
  2. Fisher CM : Hydrocephalus as a cause of disturbances of gait in the elderly. Neurology 24 : 224-231, 1974 https://doi.org/10.1212/WNL.24.3.224
  3. Hakim S, Adams RD : The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure ; observations on cerebrospinal fluid hydrodynamics. J Neurol Sci 2 : 307-327, 1965 https://doi.org/10.1016/0022-510X(65)90016-X
  4. Homeyer P, Cornu P, Lacomblez L, Chiras J, Derouesne C : A special form of cerebral lacunae : expanding lacunae. J Neurol Neurosurg Psychiatry 61 : 200-202, 1996 https://doi.org/10.1136/jnnp.61.2.200
  5. Keane JR : Tremor as the result of shunt obstruction : four patients with cysticercosis and secondary parkinsonism : report of four cases. Neurosurgery 37 : 520-522, 1995 https://doi.org/10.1227/00006123-199509000-00023
  6. Kim YD, Hwang SK, Hwang JH, Sung JK, Hamm IS, Park YM : The contributary factors of CSF shunt failure. J Korean Neurosurg Soc 30 : 79-84, 2001
  7. Mascalchi M, Salvi F, Godano U, Nistri M, Taiuti R, Tosetti M, et al : Expanding lacunae causing triventricular hydrocephalus. J Neurosurg 91 : 669-674, 1999 https://doi.org/10.3171/jns.1999.91.4.0669
  8. Poirier J, Barbizet J, Gaston A, Meyrignac C : Thalamic dementia, expansive lacunae of the thalamo-paramedian mesencephalic area, hydrocephalus caused by stenosis of the aqueduct of sylvius. Rev Neurol(Paris) 139 : 349-358, 1983
  9. Poirier J, Derouesne C : The concept of cerebral lacunae from 1838 to the present. Rev Neurol(Paris) 141 : 3-17, 1985
  10. Soelberg Sorensen P, Jansen EC, Gjerris F : Motor disturbances in Normal-pressure Hydrocephalus. Special reference to stance and gait. Arch Neurol 43 : 34-38, 1986 https://doi.org/10.1001/archneur.1986.00520010030016