The Triad of Idiopathic Normal-Pressure Hydrocephalus A Clinical Practice Case Report

Abstract

An 89-year-old white male presented with memory impairment, slowness in responsiveness, and frequent falls over a twoyear duration. Six months earlier, the patient was believed to have had a “dementia with parkinsonian features,” but showed no response to incrementing doses of both donepezil and carbidopa-levodopa. Urinary urgency was believed to have been due to prostate hypertrophy. A head CT with contrast revealed moderate ventriculomegaly in the setting of mild diffuse cortical atrophy. A diagnosis of idiopathic normal-pressure hydrocephalus (INPH) was made.