Lamjoun Meryem, Jelti Adil, Elghazouani Fatima, Barrimi Mohamed
Department of Psychiatry, Mohammed VI University Hospital, Oujda, Morocco.
Faculty of Medicine and Pharmacy, Mohammed First University, Oujda 60000, Morocco.
Radiol Case Rep. 2023 May 3;18(7):2397-2400. doi: 10.1016/j.radcr.2023.03.038. eCollection 2023 Jul.
Normal pressure hydrocephalus typically presents with a clinical triad of progressively worsening symptoms, including gait disturbance, urinary incontinence, and cognitive deficits. Occasionally, it may also manifest with significant psychiatric symptoms, which can delay early diagnosis and treatment. We present a rare case of chronic hydrocephalus in a 54-year-old patient who initially presented with symptoms of mania, which led to a delay in diagnosis and treatment. Our case highlights the importance of considering organic causes for psychiatric symptoms, especially in older patients. Early diagnosis and treatment of conditions such as hydrocephalus can prevent delays and improve patient outcomes.
正常压力脑积水通常表现为症状逐渐加重的临床三联征,包括步态障碍、尿失禁和认知缺陷。偶尔,它也可能表现出明显的精神症状,这可能会延迟早期诊断和治疗。我们报告一例罕见的慢性脑积水病例,患者为54岁,最初表现为躁狂症状,导致诊断和治疗延迟。我们的病例强调了考虑精神症状的器质性原因的重要性,尤其是在老年患者中。早期诊断和治疗脑积水等疾病可以避免延误并改善患者预后。