title: Parkinsonism--dementia complex, hydrocephalus and Paget's disease.
abstract: A 65-year-old female patient with Paget's disease displayed dementia, a bilateral Parkinsonian syndrome, gait ataxia, bilateral grasp reflex of the feet, urinary incontinence and a left hemicerebellar syndrome. She had a marked basilar impression; the radionuclide cisternogram was suggestive of a communicating hydrocephalus with ventricular dilatation. After a shunting procedure there was improvement in both neurological and mental function.
mesh_terms: D000368:Aged; D002557:Cerebrospinal Fluid Shunts; D003704:Dementia / Q000209:etiology*; D005260:Female; D006801:Humans; D006849:Hydrocephalus / Q000209:etiology* / Q000601:surgery; D010001:Osteitis Deformans / Q000150:complications*; D010300:Parkinson Disease / Q000209:etiology*; D012886:Skull