The Traid of Idiopathic Normal-Pressure Hydrocephalus : a Clinical Pratice Case Report

ABSTRACT

"An 89-year-old white male presented with memory impairment; slowness in responsiveness; and frequent falls over a two-year duration. Six months earlier; the patient was believed to have had a ""dementia with parkinsonian features;"" but showed no response to incrementing doses of both donepezil and carbidopa-levodopa. Urinary urgency was believed to have been due to prostate hypertrophy. A head CT with contrast revealed moderate ventriculomegaly in the setting of mild diffuse cortical atrophy. A diagnosis of idiopathic normal-pressure hydrocephalus (INPH) was made."