doc26inder
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A 68-year-old woman presents to her primary care physician complaining of clumsiness and urinary incontinence. The daughter tells the physician that her mother "walks oddly" and has been falling with increasing frequency. She says that her mother's symptoms began a year or two before, and gradually became worse, starting with a changing gait, followed by urinary urgency and incontinence. More recently, she says
her mother has had difficulty remembering things and has "ruined her credit rating" because she forgets to pay her bills. Her medical history includes gall bladder surgery 10 years ago and hysterectomy 15 years ago for abnormal bleeding. Family history is negative for strokes,aneurysms, or intracranial bleeds. She quit smoking fifteen years ago, and does not drink alcohoI. On physical examination, the physician
notes that the patient has an ataxic gait. She does not have a tremor, and on neurologic examination, she is found to have normal strength and muscle tone. MRI reveals enlargement of the ventricles without cortical atrophy.
Which of the following is the most likely diagnosis?
/ A. AIzheimer disease
/ B. Migraine headaches
/ C. NormaI-pressure hydrocephalus
/ D. Parkinson disease
/ E. Seizures
/ F. Stroke
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| ARJ
Forum Guru
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C. NormaI-pressure hydrocephalus
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| chemamr
Forum Hero
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C. triad is present.
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| ibraheem
Forum Junior
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The answer is c.Normal pressure hydrocephalus
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| ibraheem
Forum Junior
Topics: 5
Posts: 40
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Actually it is one of the reversable causes of Demintia if picked up early the tratment is shunt.
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