Normal pressure hydrocephalus

Case contributed by Assoc Prof Frank Gaillard

Presentation

Progressive ataxia and incontinence.

Patient Data

Age: 60 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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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