Article Text
Statistics from Altmetric.com
Clinical presentation
A 51-year-old man presented with a 1-year history of gait imbalance and difficulties in the execution of fine movements. On examination, he had hypomimia, bilateral and symmetrical bradykinesia and rigidity (unified Parkinson’s disease rating scale (UPDRS) =17). He had no tremor, impairment of eye movement and cerebellar or pyramidal signs.
MR scan of brain found a giant inter-hemispheric arachnoid cyst, exerting a moderate mass effect on the basal ganglia bilaterally (figure …
Footnotes
VL and GAB contributed equally.
Contributors VL and GAB had the idea and wrote the article. FC, GC and ML contributed to the clinical management of the case.
Competing interests None declared.
Patient consent Obtained.
Provenance and peer review Not commissioned. Externally peer reviewed. This paper was reviewed by David Burn, Newcastle-upon-Tyne, UK.
Linked Articles
- Editors' commentary
Read the full text or download the PDF:
Other content recommended for you
- Parkinson's disease: chameleons and mimics
- Improving the diagnostic accuracy in parkinsonism: a three-pronged approach
- A panel of nine cerebrospinal fluid biomarkers may identify patients with atypical parkinsonian syndromes
- Using the presence of visual hallucinations to differentiate Parkinson’s disease from atypical parkinsonism
- Vascular parkinsonism: what makes it different?
- Natural history and survival of 14 patients with corticobasal degeneration confirmed at postmortem examination
- Corticobasal syndrome: a practical guide
- DIAGNOSIS AND MANAGEMENT OF ATYPICAL PARKINSONIAN SYNDROMES
- Parkinson’s disease: clinical features and diagnosis
- Predictors of falls and fractures in bradykinetic rigid syndromes: a retrospective study