Normal Pressure Hydrocephalus in a Tertiary Care Centre
Journal Title: Journal of Medical Science And clinical Research - Year 2017, Vol 5, Issue 10
Abstract
Normal Pressure Hydrocephalus is a clinical condition associated with gait ataxia, dementia and urinary incontinence and pathologically enlarged ventricles with normal opening pressures. The presenting complaints are highly variable and the characteristic triad is not universally seen. Atypical presentation with subtle Parkinsonian features, Huntingdon movement abnormalities and cognitive dysfunction can resemble many other conditions in the elderly. Impact of cognitive dysfunction in our population with people more than 60 years old still economically vulnerable is significant. NPH is one of the few treatable causes of dementia and thus the need for early recognition and management. Little attention has been given to this potentially treatable condition of the elderly in India. This case series study on 50 patients admitted in Govt TDMC, Alappuzha, with majority older than 70 years of age and of both gender was carried out to determine the spectrum of clinical presentation in patients presenting with clinical or imaging studies suggestive of normal pressure hydrocephalus. In our study, despite all having CT brain suggestive of NPH, the characteristic triad was not universal and many had no clinically correlated findings. Atypical presentation with extra-pyramidal features were seen in 25% cases with distal resting tremor and impaired distal fine movements being the most common presentation. Gait abnormality was seen in 40%cases and most had cognitive dysfunction. A strong negative correlation between cognitive behaviour inventory score, UPDRS (Parkinsonism score) and ACE (Cognitive examination score) was found. The study concluded that even though all patients had CT Brain suggestive of NPH, the characteristic triad was not seen in many and extra-pyramidal presentation and cognitive dysfunction could also be considered as an important spectrum of clinical features.
Authors and Affiliations
Dr Rashmi KP
Keywords
Related Articles
- EP ID EP529615
- DOI -
- Views 74
- Downloads 0
Peripheral Venous Pressure: An Alternative to Central Venous Pressure?
Background - Central Venous Pressure (CVP) monitoring is useful in the assessment of the right ventricular preload and also to guide fluid therapy. Neurosurgical procedures like craniotomies for brain tumours, aneurysms...
RMNCH+A – An Update
India is the second populous country of the world after China. India’s population has already reached 1.26 billion and with a high decadal growth rate of 17.64, the country’s population may surpass that of China by 2028....
The Prevalence of Thyroid Dysfunction and Thyroid Autoantibodies Among Type 2 diabetic Patients in Nnewi, South Eastern Nigeria
Background: This study was carried out to determine the prevalence of anti-thyroid antibodies and Thyroid dysfunction (TD) among Type 2 Diabetic (T2DM) patients in our environment. Methods: The study comprises one hundre...
Study of Pre-Analytical and Post-Analytical Errors in Hematology Laboratory in A Tertiary Care Hospital
Introduction: Laboratories play an important role in the diagnosis and management of the disease. In the modern day diagnostics, with the advent of technologies and automation in the laboratories, the manual workload has...
Emergency Medical Service System in the Kingdom of Saudi Arabia
Acute healthcare delivery system in Kingdom of Saudi Arabia starts up from the prehospital/ preclinical scenario in a village level and extents up to quaternary care medical, through state of the art emergency medical se...