Normal pressure hydrocephalus

Case contributed by Dr Ian Bickle

Presentation

Gradual memory loss. Repetitive. Misplaces things. Ex-smoker. Hypertension, hypercholesterolemia.

Patient Data

Age: 65 years
Gender: Male
MRI

The lateral and third ventricles are disproportionately large for the degree of age related involution.  The temporal horns are wide measuring 1 cm.

Acute callosal angle (67 degrees).

The sulci are more effaced at the vertex compared to the rest of the brain.

Confluent periventricular T2 change in the periventricular white matter.

Annotated image

Acute callosal angle of 67 degrees (annotated).

Case Discussion

Appearances in keeping with normal pressure hydrocephalus, in the right clinical context.

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