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KMID : 0359719920100010093
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Journal of the Korean Neurological Association
1992 Volume.10 No. 1 p.93 ~ p.97
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Parkinsonism Associated with Frontal Lobe Meningioma(A Report of Two Cases)
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오건세
조상걸/정항재/안무영/이광호/변박장
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Abstract
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parkinsonism is not commonly associated with intracranial tumors. The most common brain tumor causing parkinsonism is meningiomas.
We are presenting two cases of meningiomas whose major manifestations included parkinsonism. In one, parkinsonian symptoms initially parrtially responded to L-dopa and bromocriptine. A CT scan taken for a stroke-like episode revealed a meningioma
of
left fromtal convexity. After neurological sequelae of CO poisoning, the patient poorly responded to antiparkinsonian drugs. Surgical treatment of meningioma did ot result in satisfactory control of extrapyramidal symptoms. In the other with a
parasagittal meningioma, parkinsonian symptoms were postoperatively improved.
Because no curative treatment is available for the majority of parkinsonian patients, early detection of an underlying neoplasm may result in a most rewarding outcome. It would be desirable to perform CT or MRI in cases of parkinsonism with other
associated neurological manifestation Unilaterality of parkinsonian symptoms may also be indication.
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