Asymmetric predominantly ipsilateral blepharospasm and contralateral parkinsonism in an elderly patient with a right mesencephalic cyst
作者： Carlos Singer , Norman J. Schatz , Brian Bowen , David Eidelberg , Ken Kazumata
关键词: Central nervous system disease 、 Magnetic resonance imaging of the brain 、 Pathology 、 Parkinsonism 、 Cyst 、 Blepharospasm 、 Resting tremor 、 Lesion 、 Dystonia 、 Psychology
摘要: A 66-year-old woman presented with a 3-year history of predominantly right-sided blepharospasm and 1-year progressive left-sided hemiparkinsonism manifested by left upper extremity resting tremor bradykinesia. Magnetic resonance imaging the brain revealed large right mesencephalic cyst mass effect. Positron emission tomography bilateral striatal hypometabolism consistent nigrostriatal dopaminergic dysfunction. The association ipsilateral contralateral is very rare, its posterior fossa space-occupying lesion has been reported only once. This second report such an first description adult-onset symptomatology.
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