Normal pressure hydrocephalus

Case contributed by A.Prof Frank Gaillard

Presentation

Progressive ataxia and incontinence.

Patient Data

Age: 60 years
Gender: Male
MRI

MRI demonstrates prominent ventricles, with out an obstructive lesion. The ventricles are large compared to the sulci, and there is some crowding onf the sulci superiorly with somewhat prominent sylvian fissures. 

Additionally the flow void in the aqueduct is more pronounced than usual, indicating rapid flow. 

Case Discussion

Features are consistent with, although not pathognomonic of normal pressure hydrocephalus. The patient responded to shunting confirming the diagnosis. 

Related articles

Case courtesy of Dr. Louis Xavier Pistono 

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Case information

rID: 7258
Case created: 23rd Sep 2009
Last edited: 4th Dec 2015
Inclusion in quiz mode: Included

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