Parkinsonism — Dementia Complex, Hydrocephalus and Paget’s Disease

Abstract

SummaryA 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 cisterno gram was suggestive of a communicating hydrocephalus with ventricular dilatation. After a shunting procedure there was improvement in both neurological and mental function.