Normal pressure hydrocephalus
Citation, DOI, disclosures and case data
At the time the case was submitted for publication Frank Gaillard had no recorded disclosures.View Frank Gaillard's current disclosures
Cognitive decline, incontinence and gait disturbance.
Loading Stack -
0 images remaining
Multiple FLAIR hyperintensities scattered throughout the periventricular and subcortical white matter likely reflect chronic small vessel ischemia, prominent in severity for this age. Even allowing for a degree of exvacuo dilatation related to this, the lateral and third ventricles are prominent in size compared to the sulcal pattern and the corpus callosum is thinned.
There is disproportionate crowding of the sulci superiorly near the vertex and widening of the sylvian fissures. The flow void is exaggerated across the aqueduct of Sylvius. Patency is also demonstrated on the CSF flow study (not shown)
Appearances compatible with normal pressure hydrocephalus.
A diagnosis of NPH on imaging alone is difficult and care must be taken to correlate with patient symptoms. Much of the initial work done on CSF flow studies has been difficult to replicate.
1 article features images from this case
14 public playlists include this case
- Brain non sol by N Seth
- Neuro by Valentinos Charalambous
- CNS cases by Saad Ahmed Saad Hassan
- Neuroradiology by Dylan Kurda
- hydrocephalus by omer abo elmatty
- Neuro MRI course by Valentinos Charalambous
- casi by Massimo Muciaccia
- neuro by Himanshu Pendse
- kejsy 2 by Lech Gradziński
- Nöroradyoloji ve orbita vakaları by omer faruk simitcioglu
- Neuro Cases by Basel Jaber
- NPH by Meisam Izadi
- Neuro03 - CNS benign lesions by Bruno Di Muzio ◉ ◈
- MRI brain by Pallavi Kamat