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Schizophrenia is a complex mental health disorder that can manifest with various positive symptoms, including thought, movement, and behavior disorders. These symptoms significantly disrupt cognitive and motor functions, leading to profound effects on an individual's ability to engage with the world.
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Psychotic behavior in normal pressure hydrocephalus.

Janani Shankar1, Ramnarayan Ramachandran2

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|December 13, 2024
PubMed
Summary
This summary is machine-generated.

Normal pressure hydrocephalus (NPH) can mimic psychiatric disorders, presenting with symptoms like psychotic behavior. Prompt diagnosis and treatment with shunting can lead to full recovery, even allowing discontinuation of psychiatric medications.

Keywords:
ElderlyNPHpsychosistreatable

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Area of Science:

  • Neurology
  • Neurosurgery
  • Psychiatry

Background:

  • Normal pressure hydrocephalus (NPH) is a neurological condition.
  • NPH symptoms like gait disturbance, incontinence, and cognitive decline can mimic other disorders, including Parkinson's disease.
  • Psychotic behavior is an atypical presentation of NPH.

Purpose of the Study:

  • To highlight that Normal pressure hydrocephalus (NPH) can present with psychotic symptoms.
  • To emphasize the importance of considering NPH in patients with unexplained psychiatric disturbances.
  • To report successful treatment outcomes for NPH presenting atypically.

Main Methods:

  • Case report of three patients with psychotic behavior initially treated with psychiatric medications.
  • Investigation revealing Normal pressure hydrocephalus (NPH) as the underlying cause.
  • Treatment with lumboperitoneal shunting.

Main Results:

  • All three patients experienced complete resolution of psychotic symptoms post-shunting.
  • Patients were able to discontinue psychiatric medications.
  • Lumboperitoneal shunting effectively treated the NPH and associated psychiatric manifestations.

Conclusions:

  • Normal pressure hydrocephalus (NPH) should be considered in the differential diagnosis of new-onset psychotic behavior, particularly in older adults.
  • Increased awareness among psychiatrists and geriatricians is crucial for timely diagnosis and treatment of NPH.
  • Surgical intervention (lumboperitoneal shunting) is highly effective for NPH presenting with psychiatric symptoms.