Home|Journals|Articles by Year Follow on Twitter

Directory for Medical Articles

Open Access

Meeting Abstracts

SJEMed. 2020; 1(1): 34-34

The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report

Naela Bader Alamoudi, Ruba Khalid Alnajim, Dunia Alfaraj.

Normal pressure hydrocephalus is a rare pathological condition of the brain where the cerebrospinal fluid accumulates in the ventricles thus enlarged, but with normal opening pressure on lumbar puncture. This results in three classical symptoms, namely, progressive mental impairment, gait disturbance, and urinary or bowel incontinence. It most commonly occurs in adults over the age of 60 years. It could be extremely misdiagnosed by many clinicians since the symptoms resemble other neurodegenerative disorders. Here, we are reporting a case of idiopathic Normal Pressure Hydrocephalus who was brought to the Emergency Department after falling down on the floor complaining of an imbalanced gait, with the typical triad of the aforementioned symptoms. He is a known case of diabetes mellitus. His walking problem was thought to be a complication of his diabetic foot and he had physical therapy for that, but it kept worsening with time. His gait was shuffling and brady-kinetic, with
mild drifting toward the right side. The coordination was abnormal. All laboratory investigations were normal. A head CT revealed brain tissue volume loss with disproportionate dilation of the lateral and third ventricles. The patient refused lumbar puncture and so the diagnosis of NPH was made. Conn's stated, in his point of view, in a report where he was an NPH patient, that patients themselves and their families have the final decision of whether or not shunt surgery should be undertaken, rather than by their physicians [Conn H. Normal pressure hydrocephalus: a case report by a physician who is the patient. Clinical Medicine. 2007;7(3):296-299. https://doi.org/10.7861/clinmedicine.7-3-296]

Key words: Normal Pressure Hydrocephalus, Idiopathic

Similar Articles

Hypoxia and Proton microbeam: Role of Gap Junction Intercellular Communication in Inducing Bystander Responses on Human Lung Cancer Cells and Normal Cells.
Autsavapromporn N, Kobayashi A, Liu C, Jaikang C, Ahmad TAT, Oikawa M, Konishi T
Radiation research. 2022; ():

Energy and environmental sustainability of waste personal protective equipment (PPE) treatment under COVID-19.
Zhao X, KlemeŇ° JJ, Fengqi You
Renewable & sustainable energy reviews. 2022; 153(): 111786

Production and HPLC-Based Disaccharide Analysis of Xyloside-Primed Glycosaminoglycans.
Persson A, Tykesson E, Ellervik U, Mani K
Methods in molecular biology (Clifton, N.J.). 2022; 2303(): 173-182

Glymphatic imaging and modulation of the optic nerve.
Kasi A, Liu C, Faiq MA, Chan KC
Neural regeneration research. 2022; 17(5): 937-947

xPrevalence and characteristics of chronic obstructive pulmonary disease in China with a diagnostic criterion of FEV/FVC less than the lower limit of normal-a reanalysis of Chinese epidemiological survey of COPD (CESCOPD) study.
Liu S, Zhou Y, Zou W, Tan X, Ran P
Journal of thoracic disease. 2021; 13(7): 4043-4053

Full-text options

Latest Statistics about COVID-19
• pubstat.org

Add your Article(s) to Indexes
• citeindex.org

Covid-19 Trends and Statistics
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMedģ Information Services.

ScopeMed Web Sites