Normal pressure hydrocephalus: Difference between revisions
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Revision as of 02:14, 16 February 2016
Background
- Possible reversible cause of dementia
- CSF buildup in the ventricles leading to increased intracranial pressure with edema of the periventricular white matter and corona radiata
- Sacral motor nerve fibers that produce gait instability; incontinence ensues when compressed
Clinical Presentation
- Gait disturbance
- Memory loss
- Incontinence
Labs
- CBC
- Chem 7
- LP: normal opening pressure
- Symptom improvement supports diagnosis[1]
- CT Head
DDx
- Alzheimers
- Stroke
- Parkinson's Disease
- Electrolyte Abnormality
- Malignancy
- Uremic Encephalopathy
- Hydrocephalus ex vacuo (diffuse cerebral atrophy on CT)
Management
- Additional work up warranted for surgical candidate[2]
- Assessment for Surgical CSF shunting
Also See
Sources
- http://emedicine.medscape.com/article/1150924-overview - Last Accessed 1/6/15