A 26-year-old @entity1 , who had received a ventriculo-peritoneal shunt for obstructive @entity1276 after possible @entity198 , complained of disturbance of upward gaze and difficulty in movement seven months after the shunt implantation. One month later, neurological examination revealed upward gaze paresis and @entity2003 of all four limbs, but the neuroimaging studies revealed no @entity2554 . His symptoms deteriorated, and @entity400 of the extremities appeared. He was admitted to our hospital 10 months after the shunt implantation. He developed @entity2845 mutism soon after admission. Cerebrospinal fluid protein was elevated (62 mg/dl). At that time, the shunt reservoir was found to be insufficiently filled, and neuroimaging showed dilatation of the lateral and third ventricles with no dilatation of the fourth ventricle. A neuroendoscopic third ventriculostomy with removal of the previous shunt system gradually resolved the @entity304 within two months, and the @entity1 became capable of walking. The dilatation of the ventricles improved on neuroimaging. The present report suggests that @entity5033 should be suspected when @entity304 occurs in @entity1 who have undergone a shunt placement, even though @entity1276 on neuroimaging is not observed.

[A case of severe XXXX induced by failure of ventriculo-peritoneal shunt for @entity1276 ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'man'] @entity2003 :: ('MESH:D009127', 'Disease') :: ['rigidity'] @entity198 :: ('MESH:D004660', 'Disease') :: ['encephalitis'] @entity1276 :: ('MESH:D006849', 'Disease') :: ['hydrocephalus'] @entity304 :: ('MESH:D010302', 'Disease') :: ['parkinsonism'] @entity2554 :: ('MESH:C563906', 'Disease') :: ['ventricular dilatation'] @entity2845 :: ('MESH:D018476', 'Disease') :: ['akinetic'] @entity400 :: ('MESH:D014202', 'Disease') :: ['tremor'] @entity5033 :: ('MESH:C562451', 'Disease') :: ['shunt malfunction']
@entity304 :: (MESH:D010302,Disease) :: ['parkinsonism']
