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  • Title: Parinaud's syndrome in hydrocephalus due to a basilar artery aneurysm.
    Author: Koga H, Mori K, Kawano T, Tsutsumi K, Jinnouchi T.
    Journal: Surg Neurol; 1983 Jun; 19(6):548-53. PubMed ID: 6857486.
    Abstract:
    A 65-year-old woman appeared with a progressive dementia, gait disturbance, and Parinaud's syndrome. A computed tomography scan, an angiogram of the vertebral artery, and metrizamide ventriculography demonstrated a marked hydrocephalus. A giant aneurysm at the termination of the basilar artery projected into the third ventricle producing partial obstruction of the aqueduct. The symptoms were resolved by a ventriculoperitoneal shunt; but after a month, the patient again showed the upward-gaze palsies concomitant with occurrence of shunt malfunction. The possible mechanisms of Parinaud's syndrome observed in the patient are discussed.
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