title: [L-dopa sensitive Parkinsonism in neurocysticercosis].
abstract: BACKGROUND
  Neurocysticercosis (NC) is a chronic parasitary disease that may have different neurological manifestations, such as seizures, dementia or obstructive hydrocephalus. On rare occasions, pictures secondary to hydrocephalia may occur with Parkinsonian syndrome.
  
  
  METHODS
  We present the case of a 29-year old woman with serologically confirmed NC and obstructive hydrocephalia secondary to a cyst in the IV ventricle. The patient required repeated ventricle-peritoneal shunt replacement because of valvular malfunction and obstructive hydrocephalia. She developed Parkinsonian's syndrome, which subsided after combined treatment with cysticidal drugs and L-dopa.
  
  
  CONCLUSIONS
  Parkinsonian syndrome is an atypical presentation in NC. In this case, the above-mentioned profile is found within the context of multiple valvular malfunctions who nature is reversible after appropriate treatment. It seems to be related with increases in intraventricular cerebrospinal fluid pressure. We can conclude that Parkinsonian syndromes may be one more expression of NC. This acquires greater importance according to its context, in addition to the limited presence of similar cases in our environment in the literature.
authors.affiliation: Servicio de Neurología, Fundación Jiménez Díaz, Madrid. icabol@yahoo.es
authors.forename: I Cabo
authors.initials: IC
authors.lastname: López
authors.forename: P García
authors.initials: PG
authors.lastname: Bermejo
authors.forename: P J García Ruiz
authors.initials: PJ
authors.lastname: Espiga
authors.forename: D Quiñones
authors.initials: DQ
authors.lastname: Tapia
mesh_terms: D000328:Adult; D000871:Anthelmintics / Q000627:therapeutic use; D015170:Cerebrospinal Fluid Pressure; D005260:Female; D020546:Fourth Ventricle / Q000473:pathology; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000209:etiology; D007980:Levodopa / Q000627:therapeutic use*; D020019:Neurocysticercosis / Q000150:complications* / Q000473:pathology / Q000628:therapy; D020734:Parkinsonian Disorders / Q000188:drug therapy / Q000209:etiology; D017287:Ventriculoperitoneal Shunt
chemical_list: D000871:Anthelmintics; D007980:Levodopa