A Case of Parkinsonism Following Head Trauma

J Korean Neurol Assoc > Volume 17(6); 1999 > Article

Journal of the Korean Neurological Association 1999;17(6): 901-903.

두부 외상 후 발생한 파킨슨 증후군 1예

신병수, 서만욱 ·김영현

전북대학교 의과대학 신경과학교실

A Case of Parkinsonism Following Head Trauma

Byoung Soo Shin, M.D., Man Wook Seo, M.D., Young Hyun Kim, M.D.

Department of neurology, Chonbuk National University Medical School

Abstract

Post-traumatic encephalopathy is characterized by the combination of upper motor neurons, basal ganglia, cerebellar, and psychiatric disturbances. A “striatal” variant, with predominant parkinsonism, is uncommon and may be difficult to distinguish from idiopathic Parkinson’s disease. A 38-year-old man, who had history of head injuries associated with brief losses of consciousness, developed a resting tremor and rigidity of the left lower extremity. Upon admission, he showed masked face and bradykinesia without dementia or other neurologic abnormalities. Brain MRI and SPECT studies showed no abnormalities. A BAEP study revealed an abnormal prolongation of inter-peak latencies between wave III and V. J Korean Neurol Assoc 17(6):901~903, 1999 Key Words : Head trauma, Parkinsonism