Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report
This case report centers on a 19-year-old male diagnosed with tri-ventricular obstructive hydrocephalus due to aqueductal stenosis. Following a right ventriculoperitoneal (VP) shunt procedure, the patient initially exhibited marked improvement but later developed Parkinsonian symptoms. Extensive inv...
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| Language: | English |
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Manipal College of Medical Sciences, Pokhara
2024-11-01
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| Series: | Asian Journal of Medical Sciences |
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| Online Access: | https://www.nepjol.info/index.php/AJMS/article/view/69219 |
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| author | Mahathy SU Selvakumar CJ Hempragadish JG |
| author_facet | Mahathy SU Selvakumar CJ Hempragadish JG |
| author_sort | Mahathy SU |
| collection | DOAJ |
| description | This case report centers on a 19-year-old male diagnosed with tri-ventricular obstructive hydrocephalus due to aqueductal stenosis. Following a right ventriculoperitoneal (VP) shunt procedure, the patient initially exhibited marked improvement but later developed Parkinsonian symptoms. Extensive investigations meticulously ruled out shunt malfunction and phenytoin toxicity. The suspicion of Parkinsonism secondary to VP shunt emerged, leading to the initiation of anti-Parkinsonian medications. The patient underwent a personalized treatment regimen with anti-Parkinsonian drugs, which yielded substantial clinical improvement. This case report underscores the importance of identifying unusual neurological presentations post-VP shunt. The critical role of early diagnosis and precise pharmacological intervention in the patient’s recovery cannot be overstated, and it emphasizes the potential for rare complications like post-shunt Parkinsonism. |
| format | Article |
| id | doaj-art-fe39da83b1ab418cb2e703a666db77d6 |
| institution | OA Journals |
| issn | 2467-9100 2091-0576 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Manipal College of Medical Sciences, Pokhara |
| record_format | Article |
| series | Asian Journal of Medical Sciences |
| spelling | doaj-art-fe39da83b1ab418cb2e703a666db77d62025-08-20T02:18:51ZengManipal College of Medical Sciences, PokharaAsian Journal of Medical Sciences2467-91002091-05762024-11-0111198200https://doi.org/10.3126/ajms.v15i11.69219Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case reportMahathy SU 0https://orcid.org/0009-0001-7146-2128Selvakumar CJ 1https://orcid.org/0000-0003-3425-8600Hempragadish JG 2https://orcid.org/0009-0005-6728-5244DMO, Department of Neurology, Kongunadu Hospital, Coimbatore, Tamil Nadu, India Senior Assistant Professor, Department of Neurology, Coimbatore Medical College Hospital, Coimbatore, Tamil Nadu, India Final Year MBBS, Department of Neurology, Karpagam Faculty of Medical Sciences and Research, Coimbatore, Tamil Nadu, India This case report centers on a 19-year-old male diagnosed with tri-ventricular obstructive hydrocephalus due to aqueductal stenosis. Following a right ventriculoperitoneal (VP) shunt procedure, the patient initially exhibited marked improvement but later developed Parkinsonian symptoms. Extensive investigations meticulously ruled out shunt malfunction and phenytoin toxicity. The suspicion of Parkinsonism secondary to VP shunt emerged, leading to the initiation of anti-Parkinsonian medications. The patient underwent a personalized treatment regimen with anti-Parkinsonian drugs, which yielded substantial clinical improvement. This case report underscores the importance of identifying unusual neurological presentations post-VP shunt. The critical role of early diagnosis and precise pharmacological intervention in the patient’s recovery cannot be overstated, and it emphasizes the potential for rare complications like post-shunt Parkinsonism.https://www.nepjol.info/index.php/AJMS/article/view/69219tri-ventricular obstructive hydrocephalus; right ventriculoperitoneal; post-shunt parkinsonism |
| spellingShingle | Mahathy SU Selvakumar CJ Hempragadish JG Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report Asian Journal of Medical Sciences tri-ventricular obstructive hydrocephalus; right ventriculoperitoneal; post-shunt parkinsonism |
| title | Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report |
| title_full | Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report |
| title_fullStr | Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report |
| title_full_unstemmed | Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report |
| title_short | Parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus – A case report |
| title_sort | parkinsonism in a young adult after ventriculoperitoneal shunt procedure for tri ventricular obstructive hydrocephalus a case report |
| topic | tri-ventricular obstructive hydrocephalus; right ventriculoperitoneal; post-shunt parkinsonism |
| url | https://www.nepjol.info/index.php/AJMS/article/view/69219 |
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