Normal Pressure Hydrocephalus Flashcards

1
Q

what is normal pressure hydrocephalus?

A

reversible cause of dementia seen in elderly patients

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2
Q

what is the pathophysiology of normal pressure hydrocephalus?

A

thought to be secondary to reduced CSF absorption at the arachnoid villi

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3
Q

what are the possible causes of normal pressure hydrocephalus?

A

secondary to head injury, subarachnoid haemorrhage or meningitis

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4
Q

what are the classical features seen in normal pressure hydrocephalus?

A
  • urinary incontinece
  • dementia and bradyphrenia
  • gait abnormality
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5
Q

what can be seen on images in normal pressure hydrocephalus?

A

hydrocephalus with ventriculomegaly in the absence of, or out of proportion to, sulcal enlargement

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6
Q

what is the management of normal pressure hydrocephalus?

A

ventriculoperitoneal shunting

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7
Q

what complications can occur following shunt placement?

A
  • seizures
  • infection
  • intracerebral haemorrhage
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