Secondary Parkinsonism in a Patient With a Cerebral Cavernous Hemangioma Treated With Stereotactic Radiosurgery

Seckin Aydin; Aysegul Esen Aydin; Odhan Yuksel; Taner Tanriverdi

doi:10.7759/cureus.14128

Secondary Parkinsonism in a Patient With a Cerebral Cavernous Hemangioma Treated With Stereotactic Radiosurgery

Cureus. 2021 Mar 26;13(3):e14128. doi: 10.7759/cureus.14128.

Authors

Seckin Aydin¹, Aysegul Esen Aydin², Odhan Yuksel³, Taner Tanriverdi⁴

Affiliations

¹ Department of Neurosurgery, Prof. Dr. Cemil Tascioglu City Hospital, University of Health Sciences, Istanbul, TUR.
² Department of Neurosurgery, Bakirkoy Research and Training Hospital for Neurology, Neurosurgery and Psychiatry, Istanbul, TUR.
³ Department of Neurosurgery, Baskent University School Medicine, Alanya Teaching and Medical Research Center, Alanya, TUR.
⁴ Department of Neurosurgery, Cerrahpasa Medical Faculty, Istanbul University-Cerrahpasa, İstanbul, TUR.

Abstract

Secondary parkinsonism is defined with some symptoms similar to idiopathic Parkinson's disease, but with different etiologies. And cerebral cavernous hemangioma is one of the rare cases. A 51-year-old, male patient was consulted with tremor, rigidity and bradykinesia on the right upper extremity. The Hoehn and Yahr Parkinson's scale was Stage І. Radiological evaluations showed a deep-seated cerebral cavernous hemangioma at the left posterior insular region. The patient received stereotactic radiosurgery (CyberKnife®, Accuray Incorporated, Sunnyvale, CA, USA). Clinical and radiological improvements revealed within follow-up, respectively. Stereotactic radiosurgery may be an alternative treatment for secondary parkinsonism by reducing the risk of re-bleeding and reducing its size.

Keywords: cerebral cavernous hemangioma; secondary parkinsonism; stereotactic radiosurgery (cyberknife®).

Publication types

Case Reports