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KMID : 0359720160340040363
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Journal of the Korean Neurological Association
2016 Volume.34 No. 4 p.363 ~ p.366
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Progressive Supranuclear Palsy-Like Syndrome after Surgical Repair of Chronic Ascending Aorta Dissection
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Ryu Chang-Hwan
Kang Seok-Jae
Kim Young-Seo
Kim Hee-Tae
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Abstract
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A 70-year-old woman underwent cardiopulmonary bypass surgery for aorta dissection. After 10 days she developed a vertical gaze palsy, and 2 months later she presented with dysarthria, bradykinesia, postural instability, blepharospasm, and truncal tilt to the left. Brain imaging indicated old lacunes in the bilateral thalamus. Her symptoms remained unchanged during a 4-year follow-up, which seems to be incompatible with progressive supranuclear palsy (PSP). However, the clinical features of this case were suggestive of PSP-like syndrome after cardiopulmonary bypass surgery.
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KEYWORD
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Parkinsonism, Progressive supranuclear palsy, Cardiopulmonary bypass
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