Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.
| Published in | American Journal of Psychiatry and Neuroscience (Volume 11, Issue 2) |
| DOI | 10.11648/j.ajpn.20231102.11 |
| Page(s) | 34-40 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2023. Published by Science Publishing Group |
Normal Pressure Hydrocephalus, Multiple Sclerosis, Dementia, Ventricular Shunt
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APA Style
Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, et al. (2023). Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. American Journal of Psychiatry and Neuroscience, 11(2), 34-40. https://doi.org/10.11648/j.ajpn.20231102.11
ACS Style
Solomiia Bandrivska; Mykhailo Bandrivskyi; Iryna Pepenina; Natalia Maslianchuk; Natalia Mykhailovska, et al. Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. Am. J. Psychiatry Neurosci. 2023, 11(2), 34-40. doi: 10.11648/j.ajpn.20231102.11
AMA Style
Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, et al. Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. Am J Psychiatry Neurosci. 2023;11(2):34-40. doi: 10.11648/j.ajpn.20231102.11
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Download@article{10.11648/j.ajpn.20231102.11,
author = {Solomiia Bandrivska and Mykhailo Bandrivskyi and Iryna Pepenina and Natalia Maslianchuk and Natalia Mykhailovska and Iryna Lasiichuk and Viktoriia Gryb and Tatyana Slobodin},
title = {Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis},
journal = {American Journal of Psychiatry and Neuroscience},
volume = {11},
number = {2},
pages = {34-40},
doi = {10.11648/j.ajpn.20231102.11},
url = {https://doi.org/10.11648/j.ajpn.20231102.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20231102.11},
abstract = {Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.},
year = {2023}
}
TY - JOUR T1 - Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis AU - Solomiia Bandrivska AU - Mykhailo Bandrivskyi AU - Iryna Pepenina AU - Natalia Maslianchuk AU - Natalia Mykhailovska AU - Iryna Lasiichuk AU - Viktoriia Gryb AU - Tatyana Slobodin Y1 - 2023/04/11 PY - 2023 N1 - https://doi.org/10.11648/j.ajpn.20231102.11 DO - 10.11648/j.ajpn.20231102.11 T2 - American Journal of Psychiatry and Neuroscience JF - American Journal of Psychiatry and Neuroscience JO - American Journal of Psychiatry and Neuroscience SP - 34 EP - 40 PB - Science Publishing Group SN - 2330-426X UR - https://doi.org/10.11648/j.ajpn.20231102.11 AB - Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded. VL - 11 IS - 2 ER -
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