Anxiety disorder revealing a normal pressure hydrocephalus: case report and CT findings.

Authors

  • Mohammed Leknani Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
  • Asmae Kasimi Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
  • Hajar Errahal Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
  • Zakariae Missaoui Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
  • Siham Nasri Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
  • Imane Kamaoui Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco
  • Imane Skiker Radiology Department, Mohammed VI University hospital, Oujda, Morocco, Mohammed First University, Faculty of Medicine and Pharmacy, Oujda, Morocco

DOI:

https://doi.org/10.3941/jrcr.v18i2.5237

Abstract

Normal pressure hydrocephalus (NPH) describes a constellation of imaging and clinical findings, in particular, with dilated ventricles on imaging, normal CSF pressures on lumbar puncture, it presents with a clinical triad of gait ataxia, dementia and urinary incontinence. It is considered an idiopathic condition, with the exact pathogenesis still controversial. The incidence of NPH increases with age. We report the case of a 54-year-old man who presented with recent disabling anxiety and otherwise a minimal change in gait and urinary incontinence, with orienting scanographic findings. A dramatic response was observed to lumbar puncture, wich was followed by ventriculoperitoneal shunt placement. The CT features in NPH are highly suggestive, but cannot provide a definitive diagnosis. CT must be followed by MRI, CSF pressure measurement and therapeutic tests.

Axial CT view: Dilatation of lateral ventricle (Evans index: 0,39)

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Published

2024-04-16

Issue

Vol. 18 No. 2 (2024)

Section

Neuroradiology

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