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Hydrocephalus, Normal Pressure

Description

  • Normal pressure hydrocephalus (NPH) is a clinical triad of gait instability, incontinence, and dementia (mnemonic: wet, wobbly, wacky). Originally described by Hakim and Adams in 1965, it occurs rarely, but is potentially treatable.
  • Idiopathic
  • Secondary to subarachnoid hemorrhage, head injury, or infection
  • Absence of papilledema on clinical exam and normal CSF pressures at lumbar puncture

ALERT
Geriatric Considerations
Idiopathic NPH primarily affects persons >60 years.

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