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The Triad of Idiopathic Normal-Pressure Hydrocephalus A Clinical Practice Case Report

By SE Lakhan and K Gross

Abstract

An 89-year-old white male presented with memory impairment, slowness in responsiveness, and frequent falls over a two-year duration. Six months earlier, the patient was believed to have had a “dementia with parkinsonian features,” but showed no response to incrementing doses of both donepezil and carbidopa-levodopa. Urinary urgency was believed to have been due to prostate hypertrophy. A head CT with contrast revealed moderate ventriculomegaly in the setting of mild diffuse cortical atrophy. A diagnosis of idiopathic normal-pressure hydrocephalus (INPH) was made

Topics: Case Report
Publisher: CoAction Publishing
OAI identifier: oai:pubmedcentral.nih.gov:3074332
Provided by: PubMed Central

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Citations

  1. (1942). An encephalographic ratio for estimating ventricular and cerebral atrophy. Arch Neurol Psychiatry
  2. (2002). Comparison between the lumbar infusion and CSF tap tests to predict outcome after shunt surgery in suspected normal pressure hydrocephalus. J Neurol Neurosurg Psychiatry.
  3. (2005). Diagnosing idiopathic normal-pressure hydrocephalus. Neurosurgery.
  4. (1999). Dutch Normal-pressure hydrocephalus study: The role of cerebrovascular disease. J Neurosurg.
  5. (1985). Gait apraxia in normalpressure hydrocephalus: Patterns of movement and muscle activation. Neurology.
  6. (1980). Idiopathic normal-pressure hydrocephalus. Results of shunting in 62 patients. J Neurosurg.
  7. (1996). Normal-pressure hydrocephalus: Evaluation with cerebrospinal fluid flow measurements at MR imaging. Radiology.
  8. (2002). Obesity does not induce abnormal CSF pressure in subjects with normal cerebral MR venography. Neurology.
  9. (1965). Symptomatic occult hydrocephalus with "normal" cerebrospinal-fluid pressure. A treatable syndrome.
  10. (1965). The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure: Observations on cerebrospinal fluid hydrodynamics. J Neurol Sci.
  11. (2002). The value of temporary external lumbar CSF drainage in predicting the outcome of shunting on normal pressure hydrocephalus. J Neurol Neurosurg Psychiatry.
  12. (2002). Use of cerebrospinal fluid flow rates measured by phasecontrast MR to predict outcome of ventriculoperitoneal shunting for idiopathic normal-pressure hydrocephalus. Mayo Clin Proc.