PMID: 9549596Apr 29, 1998Paper

Psychiatric manifestations of normal-pressure hydrocephalus: a short review and unusual case

International Psychogeriatrics
G PinnerJ Isaacs

Abstract

Normal-pressure hydrocephalus (NPH) is a common cause of potentially reversible dementia. It can present with psychiatric manifestations that may hinder its diagnosis. A 68-year-old man presented with a paranoid psychosis and mild cognitive impairment, but not neurological signs or classic "triad." Gait disturbance and urinary incontinence developed later in the course of illness after the diagnosis of NPH had already been made on computed tomographic (CT) scanning. A lumbo-peritoneal shunt was performed, followed by full remission of psychotic symptoms, as well as considerable improvement in functioning, continence, and gait. This case demonstrates the need to consider NPH when older patients present with psychotic symptoms, particularly in the presence of cognitive impairment, gait disturbance, or incontinence. The decision whether to perform a shunting operation is often difficult, because selection of patients with good prognosis is still inaccurate. CT scanning of the brain is an important investigation in older patients presenting with both functional and organic disorders.

Citations

Mar 5, 2013·The Psychiatric Quarterly·Jack Castro, Stephen Billick
Feb 13, 2001·ANZ Journal of Surgery·R J MobbsR L Newcombe
Jan 3, 2016·Cortex; a Journal Devoted to the Study of the Nervous System and Behavior·Gianfranco Dalla BarbaSara Marangoni
Mar 1, 2011·General Hospital Psychiatry·Biswa Ranjan MishraVinod Kumar Sinha
Dec 3, 2008·Clinical Neurology and Neurosurgery·Manolis MarkianosAndreas Seretis
Jul 5, 2005·Acta Psychiatrica Scandinavica·T ReischA Barth
Sep 1, 2009·Case Reports in Medicine·J P OliveiraJ E Cecílio Hallak
Sep 2, 2016·Neurosurgical Focus·Ekawut ChankaewItsara Benjamin
Jun 26, 2014·Arquivos de neuro-psiquiatria·Matheus F OliveiraFernando C G Pinto
Sep 15, 2005·Neurosurgery·Norman RelkinPeter McL Black
Mar 4, 2020·Journal of Child and Adolescent Psychopharmacology·Satin ZarkarBarbara J Coffey
May 10, 2018·Neurosurgery·Vasco VanhalaVille Leinonen
Sep 28, 2004·Brain Pathology·Richard J EdwardsIan K Pople
Dec 1, 2011·Irish Journal of Psychological Medicine·Syed Naveed Asif RizviRobert Daly
Apr 8, 2021·The New England Journal of Medicine·Feyza MaroufWilliam T Curry
Jan 12, 2019·Dementia and Geriatric Cognitive Disorders Extra·Robert MathewP Byju

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