Normal pressure hydrocephalus and mania symptoms: Case report

Lamjoun, Meryem; Jelti, Adil; Elghazouani, Fatima; Barrimi, Mohammed

doi:10.1016/j.radcr.2023.03.038

Cited by 2 publications

(1 citation statement)

References 13 publications

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“…Multiple studies have previously explored the association between NPH and various psychiatric presentations, possibly as a result of alterations to the central neurotransmitter activities [ 3 ]. NPH may present with auditory hallucinations and delusions, as seen in this particular case, or with psychosis, personality change, and mania [ 4 ]. However, a commonly overlooked aspect of these studies is the exploration of how to best prevent the progression of NPH in these patients with psychiatric or behavioral symptoms.…”

Section: Discussionmentioning

confidence: 99%

The Importance of Primary Care Cognitive Evaluation in Detecting an Atypical Presentation of Normal Pressure Hydrocephalus

Rivkin,

Banerjee,

Guan

et al. 2024

Cureus

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Normal pressure hydrocephalus (NPH) is a syndrome that characteristically presents with progressive gait impairment, cognitive deficits, and urinary urgency or incontinence. We present a case of a 54-year-old male with a past medical history of alcohol use and no primary care provider with new-onset auditory hallucinations. The patient was found to have a marked enlargement of the supratentorial and infratentorial ventricles on both computed tomography (CT) and magnetic resonance imaging (MRI) and an opening pressure of 21 on the lumbar puncture, concerning for NPH. Clinically, there were signs of cognitive impairment due to memory and cognitive function loss, but the patient lacked gait disturbances or incontinence. Although not common, NPH may present with auditory hallucinations or delusions, as seen with our patient. In this case report, we emphasize the importance of annual cognitive assessments in order to evaluate atypical psychiatric manifestations of neurological disorders. Because clinical symptoms are more likely to be reversible when recognized early in the clinical course and the progression of these symptoms can be prevented with the placement of a ventriculoperitoneal (VP) shunt, it is of utmost importance to accurately recognize and diagnose NPH as early as possible. We also discuss the less commonly known markers of NPH on MRI.

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Section: Discussionmentioning

confidence: 99%

The Importance of Primary Care Cognitive Evaluation in Detecting an Atypical Presentation of Normal Pressure Hydrocephalus

Rivkin,

Banerjee,

Guan

et al. 2024

Cureus

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A Brief Review on Normal Pressure Hydrocephalus Diagnosis in Primary Neuropsychiatric Care Settings

Yıldırım,

Türeli

2024

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

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Normal pressure hydrocephalus (NPH) is clinically characterized by the triad of mental deterioration, gait disturbance, and urinary incontinence. Correct diagnosis and referral of patients is important because NPH is a potentially treatable cause of cognitive decline and should be distinguished from more common forms of irreversible dementia. Unfortunately, it remains to be a rather underdiagnosed and controversial neuropsychiatric entity even in countries with modern healthcare systems. The diagnostic process is complicated by diverse clinical presentations, especially when the classical triad is incomplete or atypical such as with psychiatric symptoms. This manuscript aims to briefly review atypical clinical presentations of NPH and basic radiologic findings associated with it, and outline some recommendations to primary care physicians for diagnosis and referral.

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Normal pressure hydrocephalus and mania symptoms: Case report

Cited by 2 publications

References 13 publications

The Importance of Primary Care Cognitive Evaluation in Detecting an Atypical Presentation of Normal Pressure Hydrocephalus

The Importance of Primary Care Cognitive Evaluation in Detecting an Atypical Presentation of Normal Pressure Hydrocephalus

A Brief Review on Normal Pressure Hydrocephalus Diagnosis in Primary Neuropsychiatric Care Settings

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