When to Consider Idiopathic Normal Pressure Hydrocephalus in the Older Urgent Care Patient

When to Consider Idiopathic Normal Pressure Hydrocephalus in the Older Urgent Care Patient

Urgent Message: The features of idiopathic normal pressure hydrocephalus are easily attributed to normal aging, so the diagnosis is frequently missed. Clinicians should know when to suspect the syndrome, how to evaluate for it, and how to refer to a specialist for diagnosis confirmation and management. Keywords: idiopathic normal pressure hydrocephalus; gait disturbance; urinary incontinence; cognitive impairment; ventriculomegaly; older adults; urgent care Kenneth V. Iserson, MD, MBA, FACEP, FAAEM Abstract Idiopathic normal pressure hydrocephalus (iNPH) …

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