Document Detail


An overview of normal pressure hydrocephalus and its importance: how much do we really know?
MedLine Citation:
PMID:  21194654     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Normal pressure hydrocephalus (NPH) is a clinical triad of gait disturbance, dementia, and urinary incontinence combined with radiographic findings of ventriculomegaly and laboratory findings of normal cerebrospinal fluid pressures. Although it was first described by Hakim and Adams in 1965, there is no formal definition of NPH, causing discrepancy in its incidence in various studies. This ranges from 2 to 20 per million per year. It is estimated to be the cause of about 5% of cases of dementia and is one of the few reversible causes of dementia. Early diagnosis increases the rate of success to treatment. This makes accurate diagnosis and identification of responders to treatment important. There have been various studies on NPH in the general population, but not much has been said about it in long-term care facilities and the question arises on how many cases are missed. If a screening tool is in place to identify possible cases then further workup could be done to confirm the diagnosis and determine the need for shunting.
Authors:
Seema Siraj
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Journal of the American Medical Directors Association     Volume:  12     ISSN:  1538-9375     ISO Abbreviation:  J Am Med Dir Assoc     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-01-03     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100893243     Medline TA:  J Am Med Dir Assoc     Country:  United States    
Other Details:
Languages:  eng     Pagination:  19-21     Citation Subset:  IM    
Copyright Information:
Copyright © 2011 American Medical Directors Association. Published by Elsevier Inc. All rights reserved.
Affiliation:
University of Arkansas for Medical Science, Department of Geriatrics, 4301 W. Markham Street, Little Rock, AR 72205, USA. drseema_s@yahoo.com
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