Normal Pressure Hydrocephalus — High Pressure Normocephalus

Abstract

The case history to be presented spans most of the lifetime of a young lady who is now twenty-two years old, and it reflects the stages of development of our knowledge of several important neurosurgical concepts.

Extensive radiculopathy: a manifestation of intracranial hypertension

“…In PTC, parathesia in all extremities, which manifests itself as episodic tingling without demonstrable sensory loss, has been described by Johnston and Paterson (1974), Bortoluzzi et al . (1982), Schutz et al . (1980), Couch et al .…”

Extensive radiculopathy: a manifestation of intracranial hypertension

“…Involvement of the radicles has been implied to occur in patients with pseudotumour cerebri (PTC), though it has never been fully explored. In PTC, parathesia in all extremities, which manifests itself as episodic tingling without demonstrable sensory loss, has been described by Johnston and Paterson (1974), Bortoluzzi et al (1982), Schutz et al (1980), Couch et al (1985) and Round and Keane (1988). Similarly, neck stiffness was observed in PTC by Press and Ladenson (1983), and Repka et al (1984), and especially in the presence of low back pain and parathesia may be suggestive of root irritation similar to the report of Baquis and Rosman (1989) of neck pain and torticollis in a child with PTC.…”