clinical features
Last reviewed 01/2018
Classically, normal pressure hydrocephalus presents with a triad of:
- gait apraxia
- progressive dementia with memory loss
- sphincter disturbance resulting in incontinence
The usual progression of the triad of symptoms is of gait disturbance if which apraxia is the commonest. Cognitive impairment then occurs and finally urinary incontinence.
There may be extrapyramidal motor disturbance.
Often, other signs of frontal lobe damage and symmetrically brisk reflexes are present. No papilloedema occurs.