Case Report: Parkinsonism with Normal Pressure Hydrocephalus and Recurrent Seizures in an Elderly Male
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This case report discusses a 64-year-old male patient with a complex medical history involving Parkinson’s disease, dementia, and normal pressure hydrocephalus (NPH), who presented with recurrent seizures and altered sensorium following a fall. The patient was also diagnosed with systemic hypertension, syncope, recurrent aspiration pneumonia, and a seizure disorder. This case emphasizes the challenges of managing multiple overlapping neurological and systemic conditions in a geriatric patient and highlights the importance of multidisciplinary care, pharmacological adjustments, and clinical pharmacist interventions in optimizing treatment outcomes.
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Shimada H, et al. Progressive Parkinsonism three years after shunt surgery in a patient with idiopathic normal pressure hydrocephalus: a case report. BMC Neurology. 2020;20(1):206. https://pubmed.ncbi.nlm.nih.gov/ 32461527
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Lima R, et al. Parkinsonism and epilepsy: Case report and reappraisal of an old question. Arq Neuropsiquiatr. 2003;61(1):139–142. https://pubmed.ncbi.nlm.nih.gov/12609142
Iijima M, et al. Unusual idiopathic normal pressure hydrocephalus patient with marked asymmetric and upper body parkinsonism. BMC Neurology. 2016;16:91. https://pmc.ncbi.nlm.nih.gov/articles/PMC4888690
Matin N, et al. Are we missing non-motor seizures in Parkinson’s disease? Two case reports. Clinical Movement Disorders. 2017;4:10. https://clinicalmovementdisorders.biomedcentral.com/articles/10.1186/s40734-017-0061-3.
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