Normal pressure hydrocephalus

Case contributed by A.Prof Frank Gaillard

Presentation

Worsening gait and incontinence

Patient Data

Age: 60 years
Gender: Male
MRI

MRI brain

MRI demonstrates marked ventriculomegaly with sulci at the vertex being somewhat smaller than elsewhere. The aqueduct of Sylvius is large and demonstrates a very prominent flow void. Not that there is only minor ballooning of the third ventricle. 

Case Discussion

Features are consistent with a communicating hydrocephalus, and the prominent aqueductal flow void suggests normal pressure hydrocephalus. This is especially the case given the clinical history. 

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Case information

rID: 12836
Case created: 16th Jan 2011
Last edited: 9th Jan 2016
Inclusion in quiz mode: Included

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