Normal pressure hydrocephalus

Case contributed by Hidayatullah Hamidi
Diagnosis possible

Presentation

Classical clinical presentation of urinary incontinence and gait disturbances.

Patient Data

Age: 90 years
Gender: Male

Enlarged lateral and third ventricles out of proportion to the cortical sulcal enlargement, upward bowing of the corpus callosum and periventricular hypodensities. No CT detectable obstructive lesion in the course of ventricular system.

Case Discussion

The classical clinical presentation of normal pressure hydrocephalus are urinary incontinence, deterioration in cognition (dementia), and gait disturbances.

Imaging can show enlargement of lateral and third ventricles out of proportion to the cortical sulcal enlargement.

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