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Normal pressure hydrocephalus found after anesthesia--a case report.

Tzung-Chieh Tsai1, Chang-Chuan He, Su-Zhen Wu

  • 1Department of Anesthesiology, Chia-Yi Veterans Hospital, 600th, Shi-Shien Road, Section 2, Chia-Yi City, Taiwan, R.O.C. hepatic.tw@msa.hinet.net

Acta Anaesthesiologica Sinica
|February 11, 2004
PubMed
Summary
This summary is machine-generated.

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Normal pressure hydrocephalus (NPH) can present subtly, often masked by other conditions. Early recognition of its key symptoms is crucial for timely diagnosis and treatment.

Area of Science:

  • Neurology
  • Neurosurgery

Background:

  • Normal pressure hydrocephalus (NPH) is a neurological condition characterized by gait disturbance, dementia, and urinary incontinence.
  • It typically presents insidiously without signs of increased intracranial pressure, making early diagnosis challenging.

Observation:

  • A 71-year-old male patient undergoing knee replacement surgery presented with mild forgetfulness.
  • Post-anesthesia, the patient developed drowsiness, prompting further investigation.
  • Brain computed tomography scan was instrumental in diagnosing NPH.

Findings:

  • The patient was diagnosed with Normal pressure hydrocephalus (NPH) after experiencing altered consciousness post-surgery.
  • Treatment with a ventriculoperitoneal (V-P) shunt led to the patient regaining consciousness.

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Implications:

  • This case highlights that NPH can remain concealed in patients presenting for unrelated medical issues.
  • Physicians should maintain a high index of suspicion for NPH when gait disturbance, dementia, and urinary incontinence are present.