Chronic subdural hematoma-induced parkinsonism: A systematic review

Fahmi, Achmad; Kustono, Heru; Adhistira, Komang Sena; Subianto, Heri; Utomo, Budi; Turchan, Agus

doi:10.1016/j.clineuro.2021.106826

Cited by 4 publications

(5 citation statements)

References 23 publications

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“…e traditional view is that slight head trauma causes the tear of bridging vein and a small amount of subdural bleeding. After bleeding, it is secondary to hyperfibrinolysis and the increase of local fibrin degradation products, resulting in the continuous bleeding of new capillaries and the gradual increase of hematoma [15,16]. CSDH accounts for about 10% of all intracranial hematomas, and bilateral CSDH accounts for about 16%-20% [17][18][19] of all CSDH.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Bilateral Chronic Subdural Hematoma

Zhuang

Jiang

Zhou

et al. 2022

Computational Intelligence and Neuroscience

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Background. Chronic subdural hematoma (CSDH) is one of the common clinical intracranial hemorrhagic disorders, accounting for 16%–20% of bilateral CSDH. At present, the surgical treatment of bilateral CSDH mainly includes drilling drainage and neuroendoscopic assistance. The main objective of this paper was to compare the effects of two surgical methods on CSDH. Methods. 153 patients who were diagnosed with CSDH were included in this study. 79 patients were treated with bilateral drilling drainage, and the other 74 patients were treated with neuroendoscope-assisted drainage. The clinical data of the two groups were compared, and the surgical indexes, neurological function, cure rate, and recurrence rate of the two groups were compared. The operation indexes of patients include operation time, postoperative hematoma volume, hospital stay, extubation time, misplacement of drainage tube, recurrence, and hematoma clearance rate. Results. All patients underwent CT examination one day after operation. The CT imaging detection of the two groups was generally good. The cranial CT was reexamined before discharge. The bilateral hematoma disappeared in 114 patients, the unilateral hematoma disappeared in 29 patients, a small amount of compensatory crescent very low-density shadow subdural effusion was observed on the other side, and a small amount of compensatory crescent very low-density shadow subdural effusion was observed on both sides in 10 patients. There was no space occupying effect and intracranial gas disappeared. Compared with neuroendoscopic assisted drainage, the operation time of drilling drainage patients was significantly shorter. The extubation time, drainage tube dislocation, recurrence rate, postoperative hematoma volume, and hematoma clearance rate of patients receiving neuroendoscopic assisted drainage were significantly better than those receiving drilling drainage. The Markwalder score and hospital stay between the two groups were not significant. Conclusions. Drilling drainage and neuroendoscopic assisted surgery have good therapeutic effects on bilateral CSDH. The operation time of drilling drainage is shorter. Neuroendoscopic assisted surgery has more advantages in extubation time, misplacement of drainage tube, recurrence, postoperative hematoma volume, and hematoma clearance rate.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Bilateral Chronic Subdural Hematoma

Zhuang

Jiang

Zhou

et al. 2022

Computational Intelligence and Neuroscience

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“…Another rare cause of secondary parkinsonism is chronic subdural hematoma (CSDH). A systematic review of case descriptions found that the most common symptoms of parkinsonism due to CSDH were bradykinesia, stiffness, and gait disturbances (75%) (37).…”

Section: Post-traumatic Parkinsonismmentioning

confidence: 99%

The effects that secondary parkinsonian syndromes have on health status

Kościołek,

Urbaś,

Misiak

et al. 2024

J Educ Health Sport

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Introduction and aim of work: The parkinsonian syndrome is a component of Parkinson's disease. A thorough neurological examination can detect symptoms belonging to the parkinsonian syndrome. Diagnosis using the Queen Square Brain Bank criteria is based on the presence of bradykinesia along with one additional symptom in the patient. These include muscle rigidity or resting tremors at a frequency of 4-6 Hz, or postural disturbances that cannot be explained by visual, vestibular, cerebellar, or deep sensory disorders. The parkinsonian syndrome can occur in idiopathic Parkinson's disease, hereditary disorders, secondary parkinsonism, or be part of an atypical parkinsonian syndrome. The aim of the study was to discuss the diagnostic features and differences in the occurrence of the parkinsonian syndrome as a component of Parkinson's disease, both within the context of other neurological disorders. Materials and methods: The foundation of the research was medical articles gathered from the Google Scholar database. The studies were conducted by analyzing keywords such as "parkinsonism," "drug-induced parkinsonism," and "vascular parkinsonism." Results: Secondary parkinsonism, or secondary parkinsonism syndrome, can be indicated by clinical features such as: disease onset below the age of 40, abrupt onset, rapid disease progression, symptoms related to medication use, and symptoms associated with the underlying condition. In addition to clinical evaluation, imaging studies are also employed. Various conditions can lead to the development of secondary parkinsonism, including hydrocephalus, brain tumors, encephalitis, cerebral atherosclerosis, traumatic brain injuries, medications, and poisoning. The aforementioned conditions exert different mechanisms of influence on the central nervous system.

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“…Besides meningioma, other entities such as various CNS tumors, large arachnoid cysts, giant aneurysms, cavernoma, and chronic subdural hematoma have been reported to potentially cause secondary parkinsonism. 3,4,6,[11][12][13] The mechanisms causing extrapyramidal symptoms can be direct pressure to the basal ganglia nuclei, compression of midbrain structures, or damage to white matter tracts connecting the basal ganglia and cortical/mesencephalic areas. In our literature search, we found only one publication reporting the use of DTI analysis with the aim to visualize the corticospinal tract for surgical planning, rather than to understand the pathophysiology.…”

Section: Observationsmentioning

confidence: 99%

“…2 One possible and rare cause of hemiparkinsonism is direct mechanical compression of the basal ganglia. [3][4][5][6] Different spaceoccupying lesions causing parkinsonism have been described in the literature: tumors, large arachnoid cysts, giant aneurysms, and chronic subdural hematoma. [3][4][5][6] Here, we present a rare case of a large lateral sphenoid wing meningioma causing hemiparkinsonism.…”

mentioning

confidence: 99%

“…[3][4][5][6] Different spaceoccupying lesions causing parkinsonism have been described in the literature: tumors, large arachnoid cysts, giant aneurysms, and chronic subdural hematoma. [3][4][5][6] Here, we present a rare case of a large lateral sphenoid wing meningioma causing hemiparkinsonism. Meningiomas are relatively common intracranial tumors, comprising 36.6% of all primary central nervous system (CNS) tumors with an overall incidence of 8.3 per 100,000 persons in the Western population.…”

mentioning

confidence: 99%

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Hemiparkinsonism caused by a lateral sphenoid wing meningioma, with tractography analysis: illustrative case

Saemann¹,

Busch²,

Taub³

et al. 2023

Journal of Neurosurgery: Case Lessons

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BACKGROUND The etiologies of parkinsonism are diverse. A possible and rare cause of hemiparkinsonism is mechanical compression of the basal ganglia and its connecting white matter tracts. The authors present a case of hemiparkinsonism caused by a lateral sphenoid wing meningioma, discuss the underlying pathophysiology based on tractography, and systematically review the existing literature. OBSERVATIONS A 59-year-old female was referred for a left-sided tremor of the hand, accompanied by a cogwheel rigidity of the left arm. Symptomatology appeared 1 year earlier and worsened in the previous 6 months, finally also showing involvement of the left leg. Magnetic resonance imaging (MRI) showed a space-occupying suspected meningioma originating from the right lateral sphenoid wing and compressing the ipsilateral striatum. Tractography studies contributed to elucidate the underlying pathophysiology. Resection of the meningioma could be performed without complications. At the 4-month follow-up, the patient’s hemiparkinsonism had completely recovered. LESSONS An intracranial space-occupying lesion may be a rare cause of hemiparkinsonism. In new-onset parkinsonism, especially if a secondary form is suspected, brain MRI should be performed promptly to avoid misdiagnosis and treatment. Tractography studies help understand the underlying pathophysiology. After surgical decompression of the affected structures, symptoms can recover completely.

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Chronic subdural hematoma-induced parkinsonism: A systematic review

Cited by 4 publications

References 23 publications

Surgical Treatment of Bilateral Chronic Subdural Hematoma

Surgical Treatment of Bilateral Chronic Subdural Hematoma

The effects that secondary parkinsonian syndromes have on health status

Hemiparkinsonism caused by a lateral sphenoid wing meningioma, with tractography analysis: illustrative case

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