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Neurology India
Medknow Publications on behalf of the Neurological Society of India
ISSN: 0028-3886
EISSN: 0028-3886
Vol. 58, No. 2, 2010, pp. 309-311
Bioline Code: ni10078
Full paper language: English
Document type: Case Report
Document available free of charge

Neurology India, Vol. 58, No. 2, 2010, pp. 309-311

 en Bilateral Lhermitte-Duclos disease
Bozbuga, Mustafa; Gulec, Ilker; Suslu, Hikmet Turan. & Bayindir, Cicek


Lhermitte-Duclos disease (LDD) is a pathologic entity with progrediating, diffuse hypertrophy chiefly of the stratum granulosum of the cerebellum. Typically LDD is a unilateral lesion of the cerebellum or in vermis. Here we report a case of LDD with bilateral lesions of cerebellar hemispheres managed surgically. A 28-year-old woman presented with one-year history of progressive headache, nausea, vomiting, and blurred vision. Neurologic examination revealed a bilateral mild papilledema, mild dysmetria, and dysdiadochokinesia. The cerebellar lesions caused moderate mass effect in posterior fossa with hydrocephalus, and Chiari type I malformation. We performed the suboccipital-retrosigmoid approach, and removed completely the left intracerebellar mass. Symptoms related to elevated intracranial pressure disappeared in a short period postoperatively.

Bilaterality, Chiari malformation, hydrocephalus, Lhermitte-Duclos disease, surgery

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