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
ALERTGeriatric ConsiderationsIdiopathic NPH primarily affects persons >60 years.
Hydrocephalus, Normal Pressure has been found in 5-Minute Clinical Consult
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