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Confusion recurs 2 weeks after fall.

Nick Koneri1, Andrew Muck2, Bruce D Adams2

  • 1Kendall Regional Medical Center, Miami, FL, USA.

The Journal of Family Practice
|October 10, 2017
PubMed
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A 77-year-old woman experienced syncope and confusion, initially diagnosed as normal pressure hydrocephalus. Her symptoms recurred, highlighting the need for accurate diagnosis in elderly patients with neurological changes.

Area of Science:

  • Neurology
  • Geriatrics
  • Emergency Medicine

Background:

  • Elderly patients presenting with syncope and confusion require thorough evaluation.
  • Normal pressure hydrocephalus (NPH) is a condition that can affect gait, cognition, and urinary function.

Observation:

  • A 77-year-old woman experienced syncope, headache, and confusion.
  • Initial CT scans were normal, but symptoms persisted.
  • Two weeks later, she presented with recurrent confusion and worsening headache.

Findings:

  • The patient's history included hypertension and normal pressure hydrocephalus.
  • Neurological examination revealed disorientation to time.
  • Repeat CT scans were performed due to persistent symptoms.

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Implications:

  • This case highlights the importance of considering underlying neurological conditions in elderly patients with syncope.
  • Prompt diagnosis and management are crucial for improving patient outcomes.
  • Further investigation is needed to determine the exact diagnosis and appropriate treatment.