Document Detail

Relationship of new-onset systemic hypertension and normal pressure hydrocephalus.
MedLine Citation:
PMID:  2390649     Owner:  NLM     Status:  MEDLINE    
Communicating normal pressure hydrocephalus (NPH) is an important remote complication of traumatic brain injury (TBI). The diagnosis of this hydrocephalus depends largely on clinical signs and symptoms, including cognitive deterioration, gait changes and incontinence. However, many of these signs are also seen during post-traumatic amnesia, making early recognition of this syndrome difficult. A case study of one man post-TBI, who presented with new-onset hypertension as a sign of NPH, prompted a retrospective chart review of all patients admitted over a 2-year period with a diagnosis of NPH. Ninety per cent of patients had one or more of the classic triad of NPH and 25% of patients had symptoms suggestive of raised intracranial pressure (unexplained nausea, headache and visual disturbance). Mean systolic and diastolic blood pressures among the 20 subjects for six consecutive days pre-operatively compared with those for days 8-14 and 15-21 post-operatively showed no significant differences; a subgroup of five patients (25%), however, demonstrated a significant change in blood pressure temporally related to shunting. We suggest that demonstration of new-onset systemic hypertension may also be a clinical sign suggestive of NPH useful in the evaluation of the TBI patient.
W J Mysiw; R D Jackson
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Publication Detail:
Type:  Case Reports; Journal Article; Research Support, U.S. Gov't, P.H.S.    
Journal Detail:
Title:  Brain injury     Volume:  4     ISSN:  0269-9052     ISO Abbreviation:  Brain Inj     Publication Date:    1990 Jul-Sep
Date Detail:
Created Date:  1990-10-02     Completed Date:  1990-10-02     Revised Date:  2014-11-14    
Medline Journal Info:
Nlm Unique ID:  8710358     Medline TA:  Brain Inj     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  233-8     Citation Subset:  IM    
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MeSH Terms
Brain Injuries / complications*,  surgery
Cerebrospinal Fluid Shunts
Delirium, Dementia, Amnestic, Cognitive Disorders / etiology
Follow-Up Studies
Hydrocephalus / etiology*
Hydrocephalus, Normal Pressure / etiology*,  surgery
Hypertension / etiology*
Intracranial Pressure / physiology
Middle Aged
Neurologic Examination
Retrospective Studies
Tomography, X-Ray Computed
Grant Support

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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