Diferencia entre revisiones de «Normal pressure hydrocephalus»
Sin resumen de edición |
|||
| Línea 23: | Línea 23: | ||
*[[LP]]: normal opening pressure | *[[LP]]: normal opening pressure | ||
**Symptom improvement supports diagnosis<ref>http://emedicine.medscape.com/article/1150924-overview</ref> | **Symptom improvement supports diagnosis<ref>http://emedicine.medscape.com/article/1150924-overview</ref> | ||
*[[CT | *[[CT brain]] | ||
==Management== | ==Management== | ||
Revisión del 16:43 16 feb 2016
Background
- Possible reversible cause of dementia
- CSF buildup in the ventricles leading to increased intracranial pressure with edema of the periventricular white matter and corona radiata
- Sacral motor nerve fibers that produce gait instability; incontinence ensues when compressed
Clinical Features
- Gait disturbance
- Memory loss
- Incontinence
Differential Diagnosis
- Alzheimers
- Stroke
- Parkinson's Disease
- Electrolyte abnormality
- Malignancy
- Uremic encephalopathy
- Hydrocephalus ex vacuo (diffuse cerebral atrophy on CT)
Diagnosis
Management
- Additional work up warranted for surgical candidate[2]
- Assessment for Surgical CSF shunting