Normal pressure hydrocephalus: Difference between revisions
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**Sacral motor nerve fibers that produce gait instability; incontinence ensues when compressed | **Sacral motor nerve fibers that produce gait instability; incontinence ensues when compressed | ||
==Clinical | ==Clinical Features== | ||
*Gait disturbance | *Gait disturbance | ||
*Memory loss | *Memory loss | ||
*Incontinence | *Incontinence | ||
== | ==Differential Diagnosis== | ||
*Alzheimers | *Alzheimers | ||
*Stroke | *[[Stroke]] | ||
*Parkinson's Disease | *Parkinson's Disease | ||
*Electrolyte | *[[Electrolyte abnormality]] | ||
*Malignancy | *Malignancy | ||
*Uremic | *Uremic encephalopathy | ||
*Hydrocephalus ex vacuo (diffuse cerebral atrophy on CT) | *Hydrocephalus ex vacuo (diffuse cerebral atrophy on CT) | ||
==Diagnosis== | |||
*CBC | |||
*Chem 7 | |||
*[[LP]]: normal opening pressure | |||
**Symptom improvement supports diagnosis<ref>http://emedicine.medscape.com/article/1150924-overview</ref> | |||
*[[CT head]] | |||
==Management== | ==Management== | ||
*Additional work up warranted for surgical candidate<ref>http://emedicine.medscape.com/article/1150924-overview</ref> | *Additional work up warranted for surgical candidate<ref>http://emedicine.medscape.com/article/1150924-overview</ref> | ||
*Assessment for Surgical CSF shunting | *Assessment for Surgical CSF shunting | ||
==Disposition== | |||
==Also See== | ==Also See== | ||
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*[[Parkinson's Disease]] | *[[Parkinson's Disease]] | ||
== | ==References== | ||
<references/> | <references/> | ||
[[Category:Neuro]] | [[Category:Neuro]] | ||
Revision as of 16:42, 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 Features
- Gait disturbance
- Memory loss
- Incontinence
Differential Diagnosis
- Alzheimers
- Stroke
- Parkinson's Disease
- Electrolyte abnormality
- Malignancy
- Uremic encephalopathy
- Hydrocephalus ex vacuo (diffuse cerebral atrophy on CT)
Diagnosis
Management
- Additional work up warranted for surgical candidate[2]
- Assessment for Surgical CSF shunting