Psychiatric manifestations of normal-pressure hydrocephalus: A short review and unusual case
Abstract
Presents the case of a 68-yr-old male with paranoid psychosis and mild cognitive impairment, but no neurological signs or classic triad. Gait disturbance and urinary incontinence developed later in the course of illness after the diagnosis of normal-pressure hydrocephalus had already been made on CT scanning. A lumbo-peritoneal shunt was performed, followed by full remission of psychotic symptoms, as well as considerable improvement in functioning, continence, and gait. This case demonstrates the need to consider normal-pressure hydrocephalus when older patients present with psychotic symptoms, particularly in the presence of cognitive impairment, gait disturbance, or incontinence. It is asserted that CT scanning of the brain is an important investigation in older patients presenting with both functional and organic disorders. (PsycINFO Database Record (c) 2016 APA, all rights reserved)
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Date
1997
Type
Article
Subject
Cognition disorders, Psychotic disorders
Collections
Citation
Pinner, G., Johnson, H., Bouman, W. P. & Isaacs, J. (1997). Psychiatric manifestations of normal-pressure hydrocephalus: A short review and unusual case. International Psychogeriatrics, 9 (4), pp.465-470.