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A Male Patient with Hydrocephalus via Multimodality Diagnostic Approaches: A Case Report
Xiuyun Liu1,2, Jingjing Mu1, Meijun Pang1
1State Key Laboratory of Advanced Medical Materials and Devices, Medical School, Tianjin University, Tianjin 300072, China.
Cyborg and Bionic Systems (Washington, D.C.)
|August 14, 2024
Summary
Idiopathic normal pressure hydrocephalus (iNPH) diagnosis can be challenging. Multimodality approaches, including imaging and pressure monitoring, accurately diagnosed iNPH in an elderly male patient, leading to successful treatment.
Area of Science:
- Neurology
- Neurosurgery
Background:
- Idiopathic normal pressure hydrocephalus (iNPH) often presents with symptoms mimicking brain atrophy, leading to misdiagnosis.
- Key iNPH symptoms include gait disturbance, cognitive decline, and urinary incontinence.
Purpose of the Study:
- To present a case of idiopathic normal pressure hydrocephalus (iNPH) diagnosed using a comprehensive multimodality approach.
- To highlight the diagnostic efficacy and clinical utility of integrated diagnostic methods for iNPH.
Main Methods:
- Utilized brain imaging (e.g., MRI/CT) to assess ventricular size.
- Performed cerebrospinal fluid (CSF) tap tests and continuous intracranial pressure monitoring.
- Conducted infusion studies to evaluate CSF dynamics and pressure-volume relationships.
Main Results:
- A 68-year-old male patient with suspected hydrocephalus or Alzheimer's disease was diagnosed with iNPH.
- The multimodality diagnostic strategy confirmed the diagnosis of iNPH.
- The patient showed significant recovery after ventriculoperitoneal shunt surgery.
Conclusions:
- Multimodality diagnostic approaches are effective for accurately diagnosing iNPH.
- This integrated diagnostic strategy can reduce diagnostic delays and healthcare costs.
- The findings support the wider adoption of multimodality diagnostics for iNPH.
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