• Physical Examination Skills
    • General Examination
    • Examination of the Cardiovascular System
    • Examination of the Gastrointestinal System
    • Examination of the Neurological System
    • Examination of the Respiratory System
    • Examination of the Musculoskeletal System
    • Demonstration on putting on a surgical/ N95 mask properly
  • eLearning Materials of Individual Divisions
    • Cardiology
    • Clinical Pharmacology
    • Dermatology
    • Endocrinology
    • Gastroenterology & Hepatology
    • Geriatrics
      • Common Physical Signs in the Geriatric Setting
      • Commonly used Assessments in the Geriatric Setting
    • Haematology
    • Infectious Diseases
    • Nephrology
      • General Nephrology
      • Imaging
      • Peritoneal Dialysis
      • Hemodialysis
    • Neurology
    • Rehabilitation Medicine
      • Modified Ashworth Scale
      • Complex Regional Pain Syndrome
      • Case 1
      • Case 2
    • Respiratory Medicine
    • Rheumatology
      • Common Rheumatological Cases
      • Clinical Signs and Radiographs of Patients with Rheumatological Disorders
  • Credits
The HKU E-learning Platform in Clinical Medicine
The HKU E-learning Platform in Clinical Medicine
  • Physical Examination Skills
    • General Examination
    • Examination of the Cardiovascular System
    • Examination of the Gastrointestinal System
    • Examination of the Neurological System
    • Examination of the Respiratory System
    • Examination of the Musculoskeletal System
    • Demonstration on putting on a surgical/ N95 mask properly
  • eLearning Materials of Individual Divisions
    • Cardiology
    • Clinical Pharmacology
    • Dermatology
    • Endocrinology
    • Gastroenterology & Hepatology
    • Geriatrics
      • Common Physical Signs in the Geriatric Setting
      • Commonly used Assessments in the Geriatric Setting
    • Haematology
    • Infectious Diseases
    • Nephrology
      • General Nephrology
      • Imaging
      • Peritoneal Dialysis
      • Hemodialysis
    • Neurology
    • Rehabilitation Medicine
      • Modified Ashworth Scale
      • Complex Regional Pain Syndrome
      • Case 1
      • Case 2
    • Respiratory Medicine
    • Rheumatology
      • Common Rheumatological Cases
      • Clinical Signs and Radiographs of Patients with Rheumatological Disorders
  • Credits
Home
Geriatrics
Common Physical Signs in the Geriatric Setting

Normal Pressure Hydrocephalus

November 24th, 2014

Normal Pressure Hydrocephalus

An 83 years old man presented with progressive walking difficulty for 1 year with recurrent falls, progressive slowing of verbal response and urinary incontinence. Physical examination showed apraxia of gait but there was no evidence of parkinsonism. CT brain of this patient showed dilated ventricles. Lumbar puncture was performed revealing an opening pressure of 10 cm H2O with otherwise normal CSF examinations. A diagnosis of normal pressure hydrocephalus was made and 30ml of CSF was drained. Post-lumbar puncture showed much improvement in gait. Mini-mental state examination showed an improvement from 19 to 24 (total score of 30). The Neurosurgical colleagues were consulted. The patient was offered a ventriculo-peritoneal shunt operation which was performed uneventfully.

Related Posts

Nov 24th, 2014

Oral Thrush due to Inhaled Corticosteroids

Nov 24th, 2014

Lindsay’s Nail (Half and Half Nails)

Nov 25th, 2014

Chondrocalcinosis of pseudogout

Nov 24th, 2014

Onychomycosis

Nov 24th, 2014

Bullous Pemphigoid

Nov 24th, 2014

Staphylococcal Blepharitis

  • Click here - to select or create a menu