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Notes:
Volume 7, Issue 4(Suppl)
J Alzheimers Dis Parkinsonism, an open access journal
ISSN: 2161-0460
Euro Dementia Care 2017
September 18-19, 2017
Dementia and Dementia Care
September 18-19, 2017 Dublin, Ireland
8
th
International Conference on
Hakim Ghani et al., J Alzheimers Dis Parkinsonism 2017, 7:4(Suppl)
DOI: 10.4172/2161-0460-C1-028
Remembering Normal pressure hydrocephalus
Hakim Ghani
and
Ana Ivancheva
Mayo University Hospital, Ireland
A
65-year-old morbidly obese man was referred to neurosurgeon after general practitioner(GP), geriatric and psychiatric consults.
He presented with forgetfulness, personality changes, bradyphrenia, depression and mood changes consistent with dementia.
He also experienced ataxia, bradykinesia, urinary urgency, frequency and incontinence. The patient’s gait and cognitive deterioration
started two years prior and progressively declined. The onset of urinary incontinence was one year ago and was consistent with
detrusor overactivity.
Initially the patient was misdiagnosed with vascular dementia, Alzheimer’s disease, frontotemporal dementia and depression. Due to
progressive deterioration of symptoms and typical imaging findings he was finally diagnosed with idiopathic NPH after a geriatrician
consultation, 2 years after symptoms onset.
NPH has an unclear mechanism of cerebral ventricles expansion and distortion of fibres of corona radiata. NPH has worldwide
distribution where 50% are idiopathic. Prevalence is 0.5% in over 65 years of age and occurs equally in both sexes. Incidence is 5.5 per
100,000 population per year. NPH is thought to be higher than perceived due to misdiagnosis.
Biography
Hakim Ghani graduated from Medical University of Warsaw in 2014. He underwent the UK foundation programme in Malta. He is currently completing the Basic
Specialist Training(BST) in internal medicine at Mayo University Hospital(MUH). He has completed the MRCPI examination in Internal Medicine and is currently
involved in audits and research.
hakim_ghani89@yahoo.com