Saudi Journal of Emergency Medicine

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SJEMed. 2020; 1(1): 34-34

The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report

Authors: Naela Bader Alamoudi, Ruba Khalid Alnajim, Dunia Alfaraj.

View PDF HTML Fulltext DOI: 10.24911/SJEMed/72-1577248155

Abstract

Normal pressure hydrocephalus is a rare pathological condition of the brain where the cerebrospinal fluid accumulates in the ventricles thus enlarged, but with normal opening pressure on lumbar puncture. This results in three classical symptoms, namely, progressive mental impairment, gait disturbance, and urinary or bowel incontinence. It most commonly occurs in adults over the age of 60 years. It could be extremely misdiagnosed by many clinicians since the symptoms resemble other neurodegenerative disorders. Here, we are reporting a case of idiopathic Normal Pressure Hydrocephalus who was brought to the Emergency Department after falling down on the floor complaining of an imbalanced gait, with the typical triad of the aforementioned symptoms. He is a known case of diabetes mellitus. His walking problem was thought to be a complication of his diabetic foot and he had physical therapy for that, but it kept worsening with time. His gait was shuffling and brady-kinetic, with mild drifting toward the right side. The coordination was abnormal. All laboratory investigations were normal. A head CT revealed brain tissue volume loss with disproportionate dilation of the lateral and third ventricles. The patient refused lumbar puncture and so the diagnosis of NPH was made. Conn's stated, in his point of view, in a report where he was an NPH patient, that patients themselves and their families have the final decision of whether or not shunt surgery should be undertaken, rather than by their physicians [Conn H. Normal pressure hydrocephalus: a case report by a physician who is the patient. Clinical Medicine. 2007;7(3):296-299. https://doi.org/10.7861/clinmedicine.7-3-296]

Keywords:   Normal Pressure Hydrocephalus, Idiopathic


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The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report


Authors
Naela Bader Alamoudi
Imam Abdulrahman bin Faisal University
PubMed articlesGoogle scholar articles

Ruba Khalid Alnajim
Imam Abdulrahman bin Faisal University
PubMed articlesGoogle scholar articles

Dunia Alfaraj
Imam Abdulrahman bin Faisal University
PubMed articlesGoogle scholar articles


Correspondence to:
. Naela Bader Alamoudi, Imam Abdulrahman bin Faisal University, Dammam, Saudi Arabia.; naela.bamardouf@gmail.com

Publication history
Received 25 Dec 2019
Published in print 08 Feb 2020

How to cite this article

Pubmed Style

Alamoudi NB, Alnajim RK, Alfaraj D. The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. SJEMed. 2020; 1(1): 34-34. doi:10.24911/SJEMed/72-1577248155


Web Style

Alamoudi NB, Alnajim RK, Alfaraj D. The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. https://www.sjemed.com/?mno=79306 [Access: March 20, 2023]. doi:10.24911/SJEMed/72-1577248155


AMA (American Medical Association) Style

Alamoudi NB, Alnajim RK, Alfaraj D. The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. SJEMed. 2020; 1(1): 34-34. doi:10.24911/SJEMed/72-1577248155


Vancouver/ICMJE Style

Alamoudi NB, Alnajim RK, Alfaraj D. The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. SJEMed. (2020), [cited March 20, 2023]; 1(1): 34-34. doi:10.24911/SJEMed/72-1577248155


Harvard Style

Alamoudi, N. B., Alnajim, . R. K. & Alfaraj, . D. (2020) The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. SJEMed, 1 (1), 34-34. doi:10.24911/SJEMed/72-1577248155


Turabian Style

Alamoudi, Naela Bader, Ruba Khalid Alnajim, and Dunia Alfaraj. 2020. The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. Saudi Journal of Emergency Medicine, 1 (1), 34-34. doi:10.24911/SJEMed/72-1577248155


Chicago Style

Alamoudi, Naela Bader, Ruba Khalid Alnajim, and Dunia Alfaraj. "The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report." Saudi Journal of Emergency Medicine 1 (2020), 34-34. doi:10.24911/SJEMed/72-1577248155


MLA (The Modern Language Association) Style

Alamoudi, Naela Bader, Ruba Khalid Alnajim, and Dunia Alfaraj. "The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report." Saudi Journal of Emergency Medicine 1.1 (2020), 34-34. Print. doi:10.24911/SJEMed/72-1577248155


APA (American Psychological Association) Style

Alamoudi, N. B., Alnajim, . R. K. & Alfaraj, . D. (2020) The typical triad of idiopathic normal pressure hydrocephalus in a 62-year-old male: a case report. Saudi Journal of Emergency Medicine, 1 (1), 34-34. doi:10.24911/SJEMed/72-1577248155


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