TY - CHAP M1 - Book, Section TI - Chapter 232. Normal Pressure Hydrocephalus A1 - Usatine, Richard P. A1 - Smith, Mindy A. A1 - Chumley, Heidi S. A1 - Mayeaux, E.J. PY - 2013 T2 - The Color Atlas of Family Medicine, 2e AB - A 68-year-old man presented with a gradual onset of difficulty with his gait, increased urinary incontinence, and difficulty with his memory during the past several months. His gait was wide-based and slow, with decreased step height and length. His Mini Mental State Examination was consistent with impaired cognition. As part of his workup, he had a noncontrast head CT, which demonstrated dilated ventricles (Figure 232-1) without extensive cortical atrophy. He had normal cell counts and opening pressure on a spinal tap. He was diagnosed with normal pressure hydrocephalus (NPH) and referred to a neurosurgeon to be evaluated for a ventricular shunt. The patient had the shunt placed (Figure 232-2). His gait and urinary incontinence improved. Unfortunately, his cognitive impairments did not improve as is often the case. SN - PB - The McGraw-Hill Companies CY - New York, NY Y2 - 2024/03/29 UR - accessmedicine.mhmedical.com/content.aspx?aid=57685947 ER -