Normal pressure hydrocephalus Flashcards
1
Q
what is the triad for normal pressure hydrocephalus
A
gait disturbance
incontinence of urine
memory loss
MRI- ventricular enlargement and increased signal intensity around ventricles (increased CSF production)
treatment: LP and therapeutic drainage of CSF. test the mental status pre and post (3hr) LP
CSF catheter or shunt to facilitate drainage
2
Q
Pick’s disease
A
socially inappropriate and agressive disinhibition echolalia (echo what is said to them) anxiety emotional disturbances obsessive and repetitive behaviour incontinence inappropriate jocularity
diagnosis: brain imaging CT/MRI reveals frontotemporal lobe degeneration. Build up of Pick’s bodies (spherical aggregations of tau proteins which accumulate in the neutrons)
management: appropriate support / carers/ accommodation
3
Q
Shy-Drager syndrome
A
autonomic dysfunction
ataxia
Parkinsonism
‘multiple system atrophy’
4
Q
Creutzfeldt-Jakob syndrome
A
rare
dementia and hallucinations
no personality changes
