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Neurology 2000;55:591-593
© 2000 American Academy of Neurology
Brief Communications

Postanoxic parkinsonism: Clinical, radiologic, and pathologic correlation

J. Y. Li, MD, P. H. Lai, MD, C. Y. Chen, MD, J. S. Wang, MD and Y. K. Lo, MD

From the Section of Neurology (Drs. Li and Lo), Department of Radiology (Dr. Lai), and Department of Pathology (Drs. Chen and Wang), Veterans General Hospital-Kaohsiung, Taiwan, R.O.C.

Address correspondence and reprint requests to Dr. Jieh-Yuan Li Section of Neurology, Veterans General Hospital-Kaohsiung, 386, Ta-Chung 1st Road, Kaohsiung, Taiwan 813, Republic of China; e-mail: jyli{at}isca.vghks.gov.tw

The authors report a 72-year-old patient who presented with parkinsonism after hypoxic-ischemic insult. T1-weighted MRI revealed high signal intensity lesions in the basal ganglia. Pathologic study of the brain disclosed multiple foci of old infarcts with gliosis and lipid-laden and hemosiderin-laden macrophages, indicating a previous minor hemorrhage after infarction. This observation provided pathologic correlation with the patient’s clinical symptoms and MRI.




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