Normal pressure hydrocephalus NPH

• Facts:
  Decreased CSF absorption or transient increases in intracranial pressure that can cause permanent ventricular enlargement without chronically increasing intracranial pressure
• History / PE:
  Urinary incontinence (fecal later on)
  Dementia (memory loss)
  Gait disturbance (borad based gait)
• Diagnosis:
  Enlarged ventricles
  Normal CSF opening pressure
  
• Treatment:
  Repeated spinal taps
  Ventriculo-perintoneal shunt
• Pneumonic:
  "Wet, wobbly, and weird"
• See Also:
  Dementia diseases
• Differential Diagnosis:
  Pseudotumor cerebri (shrunken ventricles)
  Parkinson's disease (no arm swing in gait)