Research Article
Volume 12 Issue 3 - 2020
Please be Aware: Some Parkinson Plus Syndromes are Treatable
R Ramnarayan1* and V Arulselvan2
1Consultant Neurosurgeon, New Hope Hospital, Chennai, India
2Consultant Neurologist, Kovai Medical centre Hospital, Coimbatore, India
*Corresponding Author:R Ramnarayan, Consultant Neurosurgeon, New Hope Hospital, Chennai, India.
Received: January 16, 2020; Published:February 17, 2020


Background: Progressive supranuclear palsies (PSP) are usually considered untreatable with either medications or surgery.

Objective: Six patients who were being treated as PSP for some time are presented. Detailed clinical and radiological assessments were suggestive of normal pressure hydrocephalus (NPH).

Results: All of them underwent trial drainage lumbar puncture (LP) and showed very good improvement. All of them were then taken up for theco-peritoneal shunt. Four patients are doing well at follow up (upto 4 years). The Parkinson medications have been completely stopped. The other two are showing much better response to medications.

Conclusion: It may be a good idea to assess in detail both radiologically as well as clinically all patients with suspected PSP. An extensor planter is often a clue. If suspicious of NPH, a trial drainage LP (and shunt) may be worthwhile. Some patients not initially responding to drugs may do so after the shunt.

Keywords: Parkinson Plus Syndromes; Normal Pressure Hydrocephalus; Surgery; Lumbar Puncture; Theco-Peritoneal


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Citation: R Ramnarayan and V Arulselvan. “Please be Aware: Some Parkinson Plus Syndromes are Treatable”. EC Neurology 12.3 (2020): 01-05.

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