Summary
Definition
História e exame físico
Principais fatores diagnósticos
- levodopa-unresponsive gait apraxia
Outros fatores diagnósticos
- cognitive impairment
- urinary frequency, urgency, or incontinence
- fecal incontinence
Fatores de risco
- age >65 years
- vascular disease
- diabetes mellitus
Investigações diagnósticas
Primeiras investigações a serem solicitadas
- MRI head or CT head (without contrast)
- levodopa challenge
Investigações a serem consideradas
- lumbar puncture
- lumbar puncture with large-volume cerebrospinal fluid (CSF) tap
- prolonged external lumbar drainage
- cerebrospinal fluid (CSF) infusion procedure
- continuous intracranial pressure monitoring
Algoritmo de tratamento
suitable for surgery
not suitable for surgery
Colaboradores
Autores
Richard Adam Grünewald, MA, DPhil, FRCP

Consultant Neurologist
Honorary Clinical Senior Lecturer
Sheffield Teaching Hospitals NHS Foundation Trust
Sheffield
UK
Declarações
RAG is the author of a paper cited in this topic.
Agradecimentos
Dr Richard Grünewald would like to gratefully acknowledge Mr Jeremy Rowe, a previous contributor to this topic.
Revisores
Robin Wilson, MD, PhD
Associate Director
Adult Hydrocephalus Center
Sandra and Malcolm Berman Brain & Spine Institute
Sinai Hospital
Baltimore
MD
Declarações
RW declares that she has no competing interests.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
Referências
Principais artigos
INPH Guidelines Study Group. Guidelines for the diagnosis and management of idiopathic normal pressure hydrocephalus. Neurosurgery. 2005;57(Suppl 3):S2-1-S2-52.Texto completo
Halperin JJ, Kurlan R, Schwalb JM, et al. Practice guideline: Idiopathic normal pressure hydrocephalus: Response to shunting and predictors of response: Report of the Guideline Development, Dissemination, and Implementation Subcommittee of the American Academy of Neurology. Neurology. 2015 Dec 8;85(23):2063-71.Texto completo Resumo
Artigos de referência
Uma lista completa das fontes referenciadas neste tópico está disponível para os usuários com acesso total ao BMJ Best Practice.
Diagnósticos diferenciais
- Parkinson disease
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Mais Diagnósticos diferenciaisDiretrizes
- ACR appropriateness criteria dementia: 2024 update
- Practice guideline: idiopathic normal pressure hydrocephalus: response to shunting and predictors of response
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