BACKGROUND B waves, slow and rhythmic oscillations in intracranial pressure (ICP), are claimed to be one of the best predictors of outcome after surgery for normal pressure hydrocephalus (NPH). OBJECT To determine the relation between the percentage of B waves and outcome in patients with hydrocephalus, and also the diurnal variation of B waves. METHODS ICP and patient behaviour were record...

An 87-year-old woman had both Lewy body dementia and normal pressure hydrocephalus simultaneously. One should not automatically exclude the possibility of normal pressure hydrocephalus simply because another neurodegenerative disorder is present, especially if the second disorder masks typical symptoms of normal pressure hydrocephalus. Better identification of dual diagnosis patients could lead...

Several acoustic experiments show a surprising degree of stability in wave fronts propagating over multi-megameter ranges through the ocean's sound channel despite the presence of random-like, sound-speed fluctuations. Previous works have pointed out the existence of chaos in simplified ray models incorporating structure inspired by the true ocean environment. A "predictability horizon" has bee...

From 1981 to 1985 a prospective study on normal pressure hydrocephalus was performed. One of the aims of this study was to determine the site of CSF obstruction. Among 17 consecutive patients with a tentative diagnosis of normal pressure hydrocephalus, nine appeared to have non-communicating hydrocephalus most probably due to primary non-tumoural aqueduct stenosis. This unexpected finding provi...

ON EFFICIENT ESTIMATION FOR THE LOG-NORMAL MODEL MEAN Winston A. Richards, Department of Mathematics and Statistics The Pennsylvania State University, Harrisburg, USA *Ashok Sahai, Robin Antoine, Letetia Addison, Department of Mathematics & Computer Science; Faculty of Science & Agriculture St. Augustine Campus; The University of The West Indies. Trinidad & Tobago; West Indies. And M. Raghunadh...

The coexistence of cerebrovascular disease leading to deep white matter infarction and normal-pressure hydrocephalus has been noted previously in clinical studies, as both diseases can present with the triad of gait disturbance, dementia, and incontinence. The purpose of this MR study was to determine if the two diseases demonstrated a statistical association. Evidence of patchy periventricular...

INTRODUCTION Patients with idiopathic normal pressure hydrocephalus often show neuropsychiatric symptoms besides the triad of 'classic' symptoms. Memantine has been reported to have positive effects on the neuropsychiatric symptoms of patients with Alzheimer's disease and patients with dementia with Lewy bodies. We administered memantine to a Japanese patient with probable idiopathic normal pre...

OBJECTIVE Hydrocephalus is much more complex than a simple disorder of cerebrospinal fluid (CSF) circulation. Shunting primarily corrects disturbed fluid flow which may have an impact on cerebral blood flow and metabolism. We studied hydrocephalic patients before and after shunting to characterize changes in their CSF compensatory parameters. MATERIAL AND METHODS We selected 25 patients and s...

Hydrocephalus is a condition characterised by enlarged cerebral ventricles, which in turn affects intracranial pressure (ICP); however, the mechanisms regulating ICP are not fully understood. A nonlinear signal processing approach was applied to ICP signals measured during infusion studies from patients with two forms of hydrocephalus, in a bid to compare the differences. This is the first stud...

BACKGROUND It is suggested that disturbed CSF dynamics are involved in the pathophysiology of idiopathic normal pressure hydrocephalus (INPH). The pulsatility curve describes the relationship between intracranial pressure (ICP) and the amplitude of cardiac related ICP pulsations. The position of baseline ICP on the curve provides information about the physiological state of the CSF dynamic syst...