Goto I, Kuroiwa Y, Kitamura K
J Neurosurg Sci. 1986 Jul-Sep;30(3):123-8.
A triad of mental changes unsteady gait and urinary incontinence, was seen in normal pressure hydrocephalus and bilateral chronic subdural hematoma. Characteristic mental symptoms in normal pressure hydrocephalus and bilateral chronic subdural hematoma were slowness in mental responses and lack of spontaneity which were thought to be partial akinetic mutism. It is thought that the triad can be developed not only by the periventricular white matter lesion in the cerebrum as proposed in normal pressure hydrocephalus, but also by the infratentorial lesion as speculated from cases with bilateral chronic subdural hematoma.
在正常压力脑积水和双侧慢性硬膜下血肿中可见精神改变、步态不稳和尿失禁三联征。正常压力脑积水和双侧慢性硬膜下血肿的特征性精神症状为精神反应迟缓及缺乏自发性，这被认为是部分运动不能性缄默症。人们认为，该三联征不仅可如正常压力脑积水所提出的那样由大脑脑室周围白质病变引起，也可如双侧慢性硬膜下血肿病例推测的那样由幕下病变引起。
