Normal pressure hydrocephalus: Diagnosis and treatment

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The differential diagnosis and treatment of normal-pressure hydrocephalus.

BACKGROUND Normal-pressure hydrocephalus (NPH) arises in adulthood and is characterized by a typical combination of clinical and radiological findings. The mean basal intracranial pressure is normal or mildly elevated. The typical signs of the disease are gait impairment, urinary incontinence, and dementia. The difficulty of distinguishing NPH from other neurodegenerative disorders is the likel...

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Diagnosis and management of idiopathic normal-pressure hydrocephalus.

The diagnosis and management of idiopathic normal-pressure hydrocephalus (iNPH), a disorder of gait impairment, incontinence, and dementia that affects elderly patients, incorporates an organized approach using familiar principles for neurologists. The starting point is a comprehensive history and neurologic examination, review of neuroimaging, and evaluation of the differential diagnosis. Coex...

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Normal pressure hydrocephalus: new concepts on etiology and diagnosis.

Normal pressure hydrocephalus (NPH) is remarkable for two reasons: 1) it is one of the few treatable causes of dementia, and 2) neuroradiologists are usually involved in making the diagnosis. Hakim and Adams (1) are generally credited with the initial description of NPH, although it may actually have been described under a different name earlier by McHugh (2). It consists of the clinical triad ...

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Normal pressure hydrocephalus.

Normal pressure hydrocephalus (NPH) is a reversible disorder characterized by gait impairment, subcortical dementia, and urinary urgency and incontinence associated with impaired cerebrospinal fluid circulation and ventriculomegaly. Treatment with shunt surgery is most likely to increase mobility, and may also improve dementia and urinary symptoms. An international, independent study group rece...

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ژورنال

عنوان ژورنال: Current Neurology and Neuroscience Reports

سال: 2008

ISSN: 1528-4042,1534-6293

DOI: 10.1007/s11910-008-0058-2