Normal pressure hydrocephalus: Difference between revisions
No edit summary |
No edit summary |
||
| Line 26: | Line 26: | ||
==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 name="medscape">http://emedicine.medscape.com/article/1150924-overview</ref> | ||
*Assessment for Surgical CSF shunting | *Assessment for Surgical CSF shunting | ||
Revision as of 21:37, 4 August 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)
Evaluation
Management
- Additional work up warranted for surgical candidate[1]
- Assessment for Surgical CSF shunting
Disposition
If onset is chronic, typically refer to neurosurgeon for outpatient follow-up.