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Revista Cubana de Medicina Militar

ISSN 1561-3046 (Electronic)
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2016, Number 2

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Rev Cub Med Mil 2016; 45 (2)

Adult normal-pressure hydrocephalus syndrome

Berrio ÁJE, Jiménez LM, Cepero RI
Full text How to cite this article

Language: Spanish
References: 8
Page: 242-246
PDF size: 46.09 Kb.


Key words:

hydrocephalus with normal pressure, dementia, chronic hydrocephalus.

ABSTRACT

Normotensive hydrocephalus is a clinical syndrome, characterized by the progressive development of walking abnormalities, intellectual deterioration and urinary incontinence. It is mostly diagnosed in patients over 60 years of age. Ventricular dilation with no major brain atrophy is seen in cerebral images. It occurs as a late complication of intra-cerebral infection, subarachnoid hemorrhage and cranial trauma. A 69-year-old white female patient with a history of arterial hypertension for the past 6 years presented balance disorders that have led to falls resulting in fractures of hip, clavicle, humerus and facial contusions. In last years the disorder of the balance worsened and made her impossible to perform the daily life tasks, her march got slow, associated to a disorder of speech, that made difficult the verbal communication at her examination, later, she presented difficulty to remember recent facts, as well as urge urinary incontinence.


REFERENCES

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  2. Jaraj D, Rabiei K, Marlow T, Jensen C, Skoog I, Wikkelso C. Prevalence of idiopathic normal-pressure hydrocephalus. Neurology [internet] 2014; [cited 10 ago 2015]; 82(16):1449-54. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4001197/pdf/NEUROLOGY20135526 04.pdf

  3. Kiefer M, Unterberg A. The Differential Diagnosis and Treatment of Normal- Pressure Hydrocephalus. Deutsches Ärzteblatt International [internet]. 2012; [cited 10 ago 2015];109(1-2):15-26. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3265984/pdf/Dtsch_Arztebl_Int- 109-0015.pdf

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  6. Rekate HL. A consensus on the classification of hydrocephalus: its utility in the assessment of abnormalities of cerebrospinal fluid dynamics. Child's Nervous System. [internet]2011; [cited 10 ago 2015];27(10):1535-41. Available from: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3175041/pdf/381_2011_Article_155 8.pdf

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  8. Knopman DS. Enfermedad de Alzheimer y otras demencias. En: Goldman L, Ausiello D, editors. Tratado de Medicina Interna. 23ª. ed. Barcelona: Elsevier; 2009. p. 2667-75.




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Rev Cub Med Mil . 2016;45