Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis

Solomiia Bandrivska; Mykhailo Bandrivskyi; Iryna Pepenina; Natalia Maslianchuk; Natalia Mykhailovska; Iryna Lasiichuk; Viktoriia Gryb; Tatyana Slobodin

doi:doi:10.11648/j.ajpn.20231102.11

Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis

Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, Iryna Lasiichuk, Viktoriia Gryb, Tatyana Slobodin

Published in American Journal of Psychiatry and Neuroscience (Volume 11, Issue 2)

Received: 8 March 2023 Accepted: 28 March 2023 Published: 11 April 2023

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Abstract

Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.

Published in	American Journal of Psychiatry and Neuroscience (Volume 11, Issue 2)
DOI	10.11648/j.ajpn.20231102.11
Page(s)	34-40
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2023. Published by Science Publishing Group

Keywords

Normal Pressure Hydrocephalus, Multiple Sclerosis, Dementia, Ventricular Shunt

References

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APA Style

Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, et al. (2023). Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. American Journal of Psychiatry and Neuroscience, 11(2), 34-40. https://doi.org/10.11648/j.ajpn.20231102.11

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ACS Style

Solomiia Bandrivska; Mykhailo Bandrivskyi; Iryna Pepenina; Natalia Maslianchuk; Natalia Mykhailovska, et al. Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. Am. J. Psychiatry Neurosci. 2023, 11(2), 34-40. doi: 10.11648/j.ajpn.20231102.11

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AMA Style

Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, et al. Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. Am J Psychiatry Neurosci. 2023;11(2):34-40. doi: 10.11648/j.ajpn.20231102.11

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@article{10.11648/j.ajpn.20231102.11,
  author = {Solomiia Bandrivska and Mykhailo Bandrivskyi and Iryna Pepenina and Natalia Maslianchuk and Natalia Mykhailovska and Iryna Lasiichuk and Viktoriia Gryb and Tatyana Slobodin},
  title = {Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {11},
  number = {2},
  pages = {34-40},
  doi = {10.11648/j.ajpn.20231102.11},
  url = {https://doi.org/10.11648/j.ajpn.20231102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20231102.11},
  abstract = {Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.},
 year = {2023}
}

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TY  - JOUR
T1  - Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis
AU  - Solomiia Bandrivska
AU  - Mykhailo Bandrivskyi
AU  - Iryna Pepenina
AU  - Natalia Maslianchuk
AU  - Natalia Mykhailovska
AU  - Iryna Lasiichuk
AU  - Viktoriia Gryb
AU  - Tatyana Slobodin
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PY  - 2023
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DO  - 10.11648/j.ajpn.20231102.11
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 34
EP  - 40
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20231102.11
AB  - Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.
VL  - 11
IS  - 2
ER  -

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Author Information

Solomiia Bandrivska

Department of Neurology, Medical Center of Limited Liability Company ?Dobrobut Clvinic?, Kyiv, Ukraine
Mykhailo Bandrivskyi

Department of Neurology, Medical Center of Limited Liability Company ?Dobrobut Clvinic?, Kyiv, Ukraine
Iryna Pepenina

Department of Neurology, Medical Center of Limited Liability Company ?Dobrobut Clvinic?, Kyiv, Ukraine
Natalia Maslianchuk

Department of Neurology, Medical Center of Limited Liability Company ?Dobrobut Clvinic?, Kyiv, Ukraine
Natalia Mykhailovska

Department of Neurology No. 1, Shupyk National Healthcare University of Ukraine, Kyiv, Ukraine
Iryna Lasiichuk

Department of Neurology, Kolomyia Central Regional Hospital, Kolomyia, Ukraine
Viktoriia Gryb

Department of Neurology and Neurosurgery, Ivano Frankivsk National Medical University, Ivano Frankivsk, Ukraine
Tatyana Slobodin

Department of Neurology, Medical Center of Limited Liability Company ?Dobrobut Clvinic?, Kyiv, Ukraine

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APA Style

Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, et al. (2023). Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. American Journal of Psychiatry and Neuroscience, 11(2), 34-40. https://doi.org/10.11648/j.ajpn.20231102.11

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ACS Style

Solomiia Bandrivska; Mykhailo Bandrivskyi; Iryna Pepenina; Natalia Maslianchuk; Natalia Mykhailovska, et al. Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. Am. J. Psychiatry Neurosci. 2023, 11(2), 34-40. doi: 10.11648/j.ajpn.20231102.11

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AMA Style

Solomiia Bandrivska, Mykhailo Bandrivskyi, Iryna Pepenina, Natalia Maslianchuk, Natalia Mykhailovska, et al. Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis. Am J Psychiatry Neurosci. 2023;11(2):34-40. doi: 10.11648/j.ajpn.20231102.11

Copy | Download

@article{10.11648/j.ajpn.20231102.11,
  author = {Solomiia Bandrivska and Mykhailo Bandrivskyi and Iryna Pepenina and Natalia Maslianchuk and Natalia Mykhailovska and Iryna Lasiichuk and Viktoriia Gryb and Tatyana Slobodin},
  title = {Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis},
  journal = {American Journal of Psychiatry and Neuroscience},
  volume = {11},
  number = {2},
  pages = {34-40},
  doi = {10.11648/j.ajpn.20231102.11},
  url = {https://doi.org/10.11648/j.ajpn.20231102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajpn.20231102.11},
  abstract = {Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.},
 year = {2023}
}

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TY  - JOUR
T1  - Clinical and Radiological Features of Possible Normal Pressure Hydrocephalus in a Patient with Multiple Sclerosis
AU  - Solomiia Bandrivska
AU  - Mykhailo Bandrivskyi
AU  - Iryna Pepenina
AU  - Natalia Maslianchuk
AU  - Natalia Mykhailovska
AU  - Iryna Lasiichuk
AU  - Viktoriia Gryb
AU  - Tatyana Slobodin
Y1  - 2023/04/11
PY  - 2023
N1  - https://doi.org/10.11648/j.ajpn.20231102.11
DO  - 10.11648/j.ajpn.20231102.11
T2  - American Journal of Psychiatry and Neuroscience
JF  - American Journal of Psychiatry and Neuroscience
JO  - American Journal of Psychiatry and Neuroscience
SP  - 34
EP  - 40
PB  - Science Publishing Group
SN  - 2330-426X
UR  - https://doi.org/10.11648/j.ajpn.20231102.11
AB  - Normal pressure hydrocephalus (NPH) is potentially treatable form of dementia, which along with gait disturbance and impaired urinary control compose a clinical picture of the Hakim-Adams syndrome. In advanced age it could be challenging to distinguish the disease from other form of dementias or brain atrophy. From another prospective, other brain conditions could have a number of similar symptoms that could make it even harder to raise a suspicion of NPH. In this article we describe a clinical picture, neurological examination data, neuroimaging and clinical analysis of blood and cerebrospinal fluid (CSF) of the patient with confirmed multiple sclerosis (MS) and symptoms falling under Hakim-Adams triad criteria. On the other hand, pronounced cortical atrophy and patient`s cognitive decline, could be a consequence of prolonged disease, absence of disease-modifying treatment and poor compliance of the patient. Challenges in management of the patient were not only limited by the duration of the multiple sclerosis, but also a number of comorbidities in the history of the disease and not straightforward data after performing the tap test. Thorough review of a patient with multiple sclerosis with clinical manifestations corresponding to Hakim's triad, and with ventriculomegaly on CT/MRI, should be performed as the comorbidity of MS and NPH has to be excluded.
VL  - 11
IS  - 2
ER  -

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