Coexisting clinical and CT findings of progressive supranuclear palsy and normal pressure hydrocephalus. Case report

1988 ◽  
Vol 9 (3) ◽  
pp. 283-285 ◽  
Author(s):  
P. Ambrosetto ◽  
A. Bacci
Author(s):  
Marianthi Breza ◽  
Vasiliki Kotsali-Peteinelli ◽  
Ioanna Tsantzali ◽  
Antonis Mavromatos ◽  
Eleni Strataki ◽  
...  

Author(s):  
Massimiliano Todisco ◽  
Francesca Valentino ◽  
Enrico Alfonsi ◽  
Giuseppe Cosentino

Author(s):  
Andrea Quattrone ◽  
Alessia Sarica ◽  
Domenico La Torre ◽  
Maurizio Morelli ◽  
Alessandro Mechelli ◽  
...  

2019 ◽  
Vol 80 (05) ◽  
pp. 404-408
Author(s):  
Michael Kogan ◽  
Justice Agyei ◽  
Kevin J. Cuddahee ◽  
Kevin J. Gibbons

Background and Objective Progressive impairment of cognitive function is a common feature seen in patients with normal pressure hydrocephalus (NPH). Along with cognitive decline, many of the other classic symptoms of NPH are chronic and rarely present with overwhelming anxiety. We report the case of a 63-year-old man who presented with recent primary psychiatric manifestation of severe disabling anxiety and otherwise a minimal change in gait and no urinary disturbance. Clinical Presentation The patient's work-up consisted of magnetic resonance imaging that showed moderate ventriculomegaly but no findings concerning for acute obstructive hydrocephalus. A single-photon emission computed tomography scan was markedly abnormal with severe hypoperfusion consistent with hydrocephalus. Initially shunting was not advised but was eventually performed after a dramatic response to a large-volume lumbar puncture. After considerable discussion, he underwent elective ventriculoperitoneal shunt placement and had dramatic and sustained improvement in his anxiety. Conclusion We believe this case report is a unique description of NPH symptomology and might guide future research or clinical decision making.


2020 ◽  
Vol 35 (8) ◽  
pp. 1406-1415 ◽  
Author(s):  
Andrea Quattrone ◽  
Alessia Sarica ◽  
Domenico La Torre ◽  
Maurizio Morelli ◽  
Basilio Vescio ◽  
...  

2020 ◽  
Vol 9 (03) ◽  
pp. 188-192
Author(s):  
Halil Onder

AbstractCo-occurrences of neurodegenerative diseases in normal pressure hydrocephalus (NPH) is a remarkable topic of discussion, which has been mentioned in recent studies and it was also emphasized by the International Society for Hydrocephalus and Cerebrospinal Fluid Disorder. In this report, I illustrate two remarkable cases which were initially diagnosed with idiopathic normal pressure hydrocephalus (iNPH) and ventriculoperitoneal (VP) shunt surgery was performed, which yielded significant improvement in the clinic of both patients in the short-term period. However, in the long-term follow-up, both of them deteriorated, and re-evaluation of the neurological examination and neuroimaging data yielded the full clinical picture of progressive supranuclear palsy (PSP). Via the illustration of these cases and related literature data, I rediscuss some related hypotheses about the co-occurrence of these two conditions of hydrocephalus and PSP. I also suggest some distinct discussions to be clarified in future studies.


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