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Normal pressure hydrocephalus co-existing with a second dementia disorder
1Marshfield Clinic Research Foundation 1000 Oak Avenue, Marshfield, Wisconsin, USA. josalmd@yahoo.com
Neuropsychiatric Disease and Treatment
|August 30, 2008
Summary
Normal pressure hydrocephalus can coexist with Lewy body dementia. Identifying this dual diagnosis is crucial for improving patient mobility and bladder control through shunting procedures.
Area of Science:
- Neurology
- Neuroscience
- Geriatrics
Background:
- Lewy body dementia (LBD) is a progressive neurodegenerative disorder.
- Normal pressure hydrocephalus (NPH) is a neurological condition characterized by gait disturbance, urinary incontinence, and cognitive impairment.
Observation:
- A case study of an 87-year-old woman with coexisting LBD and NPH.
- The presence of LBD masked the typical symptoms of NPH, posing a diagnostic challenge.
Findings:
- Simultaneous occurrence of LBD and NPH is possible.
- Neurodegenerative disorders can mask the characteristic symptoms of NPH.
- Accurate diagnosis of dual NPH and LBD is essential.
Implications:
- Improved identification of patients with dual diagnoses can enhance outcomes.
- Ventriculoperitoneal or lumboperitoneal shunting may improve gait and incontinence in these patients.
- Early diagnosis and intervention can significantly impact quality of life for individuals with coexisting neurological conditions.
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