Achmad Fahmi, Achmad and Heru Kustono, Heru and Komang Sena Adhistira, Komang and Heri Subianto, Heri and Budi Utomo, Budi and Agus Turchan, Agus Chronic Subdural Hematoma-Induced Parkinsonism: A Systematic Review. Clinical Neurology and Neurosurgery, 208. pp. 6-11. ISSN P-ISSN:0303-8467; E-ISSN:1872-6968

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Abstract

Abstract Background: Chronic subdural hematoma (CSDH) is one of the most common neurosurgical cases, especially in elderly individuals. Secondary parkinsonism due to CSDH is a rare entity. The mechanism of parkinsonism symptoms in chronic subdural hematoma has been suggested to include direct mechanical compression of the basal ganglia due to hematoma or indirectly through brain structure changes due to space lesions and vascular disorders. Surgery on the subdural hematoma provides a favorable outcome for parkinsonism symptoms. Objectives: To systematically review the literature on CSDH-induced parkinsonism. Search methods: This is a systematic review on case reports. Literature search was performed using the predefined keywords on PubMed, ProQuest, and Google Scholar. We also provided our own case report and compared it with published studies. Result: Sixteen cases from 13 case reports/series were identified, predominantly consisting of male patients with the mean age of 66.5 ± 9.73 years. The most common symptoms were rigidity, gait disturbance, and bradykinesia, observed in 12 (75%) cases each. The second and third most common symptoms were tremor (11; 68.75%) and facial masking (8; 50%), respectively. Other reported symptoms were dysphasia (3; 18.75%), dysarthria (3; 18.75%), and urinary incontinence (2; 12. 5%). Time gap between the symptom onset and CSDH diagnosis and unilateral location seemed to influence the outcome. Conclusion: Only 16 CSDH-induced parkinsonism were identified since the 1960s. This condition is thought to occur due to basal ganglia compression. Surgery on the subdural hematoma provides a favorable outcome for parkinsonism symptoms. Timely CSDH diagnosis might yield better outcome. However, further research on CSDH-induced parkinsonism is needed, especially in the mechanisms and treatment outcomes.

Item Type:	Article
Subjects:	R Medicine > R Medicine (General) > R5-920 Medicine (General)
Divisions:	01. Fakultas Kedokteran > Ilmu Kesehatan Masyarakat
Creators:	Creators NIM Achmad Fahmi, Achmad NIDN8961800020 Heru Kustono, Heru UNSPECIFIED Komang Sena Adhistira, Komang UNSPECIFIED Heri Subianto, Heri UNSPECIFIED Budi Utomo, Budi NIDN0018055904 Agus Turchan, Agus NIDN8822800016
Depositing User:	arys fk
Date Deposited:	28 Mar 2023 02:14
Last Modified:	28 Mar 2023 02:14
URI:	http://repository.unair.ac.id/id/eprint/121013
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