Psychiatric symptoms are present in most of the patients with idiopathic normal pressure hydrocephalus

Oliveira, Matheus Fernandes de; Oliveira, João Ricardo Mendes de; Rotta, José Marcus; Pinto, Fernando

doi:10.1590/0004-282x20140047

Cited by 33 publications

(30 citation statements)

References 22 publications

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“…The three most common findings in that study were apathy (70.3%), anxiety (25.0%), and agitation (17.2%). In another study involving 35 cases, the frequency of psychiatric signs was 71% (5). The most common findings in this study were anxiety, depressive mood, and psychotic signs.…”

Section: Introductionsupporting

confidence: 53%

Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report

Açar¹,

Ozelci²,

Erol³

2018

Dusunen Adam

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Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report Normal pressure hydrocephalus (NPH) is usually presented with psychiatric symptoms. Obsessive compulsive disorder (OCD) and NPH comorbidity is rare and there are only few case reports on this topic.Our case who had chronic NPH secondary to intracranial hemorrhage presented with obsessive compulsive (OC) symptoms while he was treated at neurology inpatient clinic for epilepsy. He benefited from sertraline and quetiapine treatment. Our case is thought to be the first case in terms of comorbidity of chronic NPH and OC symptoms in Turkey.

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Section: Introductionsupporting

confidence: 53%

Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report

Açar¹,

Ozelci²,

Erol³

2018

Dusunen Adam

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“…Oliveira et al showed that up to 70% of patients with NPH may present neuropsychiatric symptoms, which may be from metabolic impairments in frontal lobe, basal ganglia and thalamus, all of which can be involved in pathophysiology of OS [1][2][3][4][5][6][7][8][9][10] .…”

Section: Discussionmentioning

confidence: 99%

“…Dear Editor, Normal pressure hydrocephalus (NPH) is a syndrome characterized by urinary incontinence, gait disturbance and dementia plus dilation of ventricular system due to disturbance of cerebrospinal fluid (CSF) circulation [1][2][3][4] . There is wide scientifical evidence pointing association between NPH and psychiatric symptoms [1][2][3][4] .…”

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confidence: 99%

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Resolution of Othello-like syndrome following ventricular shunting in a post traumatic normal pressure hydrocephalus subject

Pinto¹,

Stump²,

Valiengo³

et al. 2016

Arch. Clin. Psychiatry (São Paulo)

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“…4,12,14,28,29,33,45 In 1965, Adams et al 2 proposed a triad of symptoms for NPH, consisting of gait disturbance, cognitive impairment, and urinary incontinence. Many other symptoms have been reported, including subsequent apathy, anxiety, depression, 34,39,43 impaired wakefulness, 7,24 and sexual dysfunction, 31 but on our review of the literature, no previous studies have investigated and reported on bulbar dysfunction in NPH.…”

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confidence: 90%

Bulbar dysfunction in normal pressure hydrocephalus: a prospective study

Chankaew¹,

Srirabheebhat²,

Manochiopinig

et al. 2016

FOC

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OBJECTIVE Normal pressure hydrocephalus (NPH) is clinically characterized by gait disturbance, cognitive impairment, and urinary incontinence, as well as enlargement of the ventricles. To the best of the authors' knowledge, there have been no previous publications regarding the correlation between bulbar dysfunction and NPH. The primary objective of this study was to compare preoperative and postoperative prevalence of bulbar dysfunction in patients with NPH. Secondary objectives included assessing the results of surgery for swallowing, speech, gait, cognition, and urination, and evaluating the correlation between bulbar dysfunction and triad symptoms. METHODS Fifty-three patients with NPH who underwent shunt placement surgery at Siriraj Hospital were included in the study. Patients were evaluated for gait, cognition, urination, swallowing, and speech before and 6 months after shunt placement. Triad symptoms were assessed using standard methods. Bulbar dysfunctions were assessed using the Swallowing Problem Questionnaire, Thai Articulation Test, Resonation Screening Test (RST), and Thai Nasality Test. The Thai Speech Assessment Program and nasometer were used for objective speech measurement. RESULTS Preoperatively, 86% (43/50) of patients had swallowing problems and 75% (37/49) had speech problems, as measured by the RST. Postoperatively, there was significant improvement in swallowing (p < 0.001), speech problems by RST (p = 0.008), and voice volume (p = 0.009), but no significant change in the nasometer test. All triad symptoms were improved. There were significant correlations between swallowing impairment and gait disturbance (r = 0.358, p = 0.009), and RST and cognitive impairment (r = −0.502, p < 0.001). CONCLUSIONS This is the first study of bulbar dysfunction in patients with NPH. The results showed that the prevalence of bulbar dysfunction is very high. The correlation between bulbar dysfunction and the classic NPH triad has been documented and published. These bulbar symptoms also significantly improved after surgery. As such, bulbar dysfunction should be regarded as a core symptom that should be considered along with the classic triad in the clinical diagnosis and management of NPH.

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Psychiatric symptoms are present in most of the patients with idiopathic normal pressure hydrocephalus

Cited by 33 publications

References 22 publications

Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report

Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report

Resolution of Othello-like syndrome following ventricular shunting in a post traumatic normal pressure hydrocephalus subject

Bulbar dysfunction in normal pressure hydrocephalus: a prospective study

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