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Asymmetric Walkway: A Novel Behavioral Assay for Studying Asymmetric Locomotion
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Gait apraxia.

M Mihalj1, M Titlic, A Marovic

  • 1Department of Neurology, University Hospital Split, Split, Croatia. m.mihalj@inet.hr

Bratislavske Lekarske Listy
|May 1, 2010
PubMed
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Gait apraxia, a symptom often linked to normotensive hydrocephalus, improved in a Parkinson's disease patient after cerebrospinal fluid (CSF) evacuation. This case highlights CSF management for gait apraxia in complex neurological conditions.

Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Gait apraxia is a common symptom of normotensive hydrocephalus (NPH), often presenting as part of the Hakimov triad.
  • Parkinson's disease (PD) is a progressive neurodegenerative disorder affecting movement.

Observation:

  • A long-term Parkinson's disease patient developed normotensive hydrocephalus, leading to gait apraxia.
  • The patient's gait apraxia persisted despite initial treatments.

Findings:

  • Repeated cerebrospinal fluid (CSF) evacuation was performed on the patient.
  • Significant improvement in gait apraxia was observed after the third CSF evacuation.

Implications:

  • This case suggests that CSF management can be a viable therapeutic option for gait apraxia in NPH patients, even those with co-existing Parkinson's disease.

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  • Further research is warranted to explore the efficacy of CSF diversion in managing gait disturbances in complex neurological cases.