A Case of Diabetes Mellitus with Normal Pressure Hydrocephalus / 日本農村医学会雑誌

ABSTRACT

The patient was a 56-year-old male. He had a history of alcoholism since 1975 and diabetes mellitus since 1978. He was treated with insulin therapy. But the control of diabetes mellitus was very poor and he had six hypoglycemic comas attacks. He had diabetic triopathy but no symptoms of gait disturbance, dementia and incontinence. Brain computerized tomography and magneting resonance imaging revealed severe communicating hydrocephalus with mild brain atrophy.<SUP>111</SUP>In-DPTA cisternography revealed retension of isotope in the ventricle after 48 hours. The pressure of cerebrospinal fluid was normal.<BR>This case report is interesting as it suggests the relationship between normal pressure hydrocephalus and hypoglycemia.