Normal pressure hydrocephalus (NPH) is a clinical triad of gait instability, incontinence, and dementia (mnemonic: wet, wobbly, wacky); originally described by Hakim in 1957
Two forms...
Insidious and usually progressive; gait instability usually manifests initially, followed by changes in mentati...
No medication is significantly helpful.
Use of carbonic anhydrase inhibitors (acetazolamide) with repeat lumbar punctures has provided mild and transient relief but is only supporte...
Assessment and modification of environment for fall risks
Evaluation for ability to operate a motor vehicle safely (if driving)
Repeat neuropsycho...
G91.2 (Idiopathic) normal pressure hydrocephalus
G91.0 Communicating hydrocephalus
G91.3 Post-traumatic hydrocephalus, unspecified
G91.4 Hydrocephalus in diseases classified elsewhere
307...
Consider in unexplained dementia or behavioral change.
Insidious and usually progressive; gait instability usually manifests initially, followed by changes in mentation, and eventually,...
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