Abstract
Abstract Hemiparkinsonism is an exceptionally rare form of secondary Parkinsonism that manifests with unilateral symptoms and is often accompanied by ipsilateral body atrophy. Epidermoid cysts are benign, slow-growing tumors that can present with varying neurological symptoms. We report a case of a 30-year-old male who exhibited symptoms of Hemiparkinsonism secondary to a right-sided epidermoid cyst. The patient presented with three months of progressive resting left arm tremor and two weeks of left hand weakness. The patient exhibited a central left facial droop and left arm weakness with rigidity and bradykinesia. Unified Parkinson Disease Rating Scale (UPDRS) Part III score was 13. Gross total resection was achieved using a right frontotemporal craniotomy via a preauricular, subtemporal approach. Complete reversal of symptoms occurred after surgical resection.
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