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Blepharoclonus and parkinsonism associated with aqueductal stenosis

✍ Scribed by Mabel Gatto; Dr. Federico Micheli; Manuel Fernandez Pardal


Book ID
102507052
Publisher
John Wiley and Sons
Year
1990
Tongue
English
Weight
458 KB
Volume
5
Category
Article
ISSN
0885-3185

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✦ Synopsis


Abstract

A 28‐year‐old man with a history of congenital hydrocephalus due to aqueductal stenosis shunted at 45 days of age is presented. At age 4 years the valve had to be removed because of septicemia. Twenty‐three years later he developed parkinsonian signs and abnormal, involuntary rhythmic contractions of the eyelids. The latter were elicited on gentle eye closure. Parkinsonism promptly improved after ventriculoperitoneal shunting, but blepharoclonus persisted unchanged.


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Evaluation of in utero shunting for fetal ventriculomegaly requires an analysis of the ex utero treatment of a comparison population of infants with idiopathic aqueductal stenosis (IAS). In this study, 14 neonates with IAS were followed with detailed developmental assessment profiles for 18 months o