Normal pressure hydrocephalus: Difference between revisions
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**Symptom improvement supports diagnosis<ref name="medscape">Schneck MJ. Normal pressure hydrocephalus [http://emedicine.medscape.com/article/1150924-overview Medscape. | **Symptom improvement supports diagnosis<ref name="medscape">Schneck MJ. Normal pressure hydrocephalus [http://emedicine.medscape.com/article/1150924-overview Medscape.] Retrieved 8/4/2016</ref> | ||
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Revision as of 22:02, 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
Disposition
- Workup typically is extensive and performed as an outpatient.
- Refer to neurosurgery
Also See
References
- ↑ 1.0 1.1 Schneck MJ. Normal pressure hydrocephalus Medscape. Retrieved 8/4/2016 Cite error: Invalid
<ref>tag; name "medscape" defined multiple times with different content - ↑ Shprecher D, Schwalb J, Kurlan R. Normal pressure hydrocephalus: diagnosis and treatment. Curr Neurol Neurosci Rep. 2008 Sep;8(5):371-6.