It is thought to have been initially described by Colombian neurosurgeon Salomón Hakim and R D Adams in , although it may actually have been described. Items tagged “hakim-adams triad”. All Results · Articles · Cases; Blank. 1 result found. Case. Normal pressure hydrocephalus. Diagnosis certain. Dr Andrei. Hakim S: Algunas observaciones sobre la presion del L.C.R. sindrome Hakim S, Adams RD: The special problem of symptomatic hydrocephalus with normal.

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There is no difference in incidence between men and women. This is sometimes confusingly referred to as secondary normal pressure hydrocephalus 3. Adam using this site, you agree to the Terms of Use and Privacy Policy. Most clinicians will assume that one is referring to idiopathic normal pressure hydrocephalus if no qualifier is used.

On imaging, it can be characterised both on CT and MRI by enlarged lateral and third ventricles out of proportion to the cortical sulcal enlargement. Lack of data concerning this issue might be due to both old age and poor medical sindromee of the population of patients suffering from the disease.

Unable to process the form. As the fluid builds up, it causes the ventricles to enlarge and the pressure inside the head to increase, compressing surrounding brain tissue and leading to neurological complications.

Standard biochemical blood analysis showed normal renal and liver function tests as well as normal arterial blood gases values.

Lateral ventriculomegaly and periventricular hypointensities.

Because of this, patients do not exhibit the classic signs that accompany increased intracranial pressure such as headache, nausea, vomiting, or altered consciousness, although some studies have shown pressure elevations to occur intermittently. Rapid Recognition and Perioperative Implications.


Tag: hakim-adams triad |

In fact, in these cases many confounding factors especially neurodegenerative disorders might be incriminated as causes of delayed or altered arousal. Case 2 Case 2. Purchase access Subscribe now. Case 8 Case 8. Syndrome characterized by the presence of slowly developing normal-pressure hydrocephalus. The yakim of patients with clinically diagnosed idiopathic normal pressure hydrocephalus.

Normal pressure hydrocephalus | Radiology Reference Article |

Most children also have at least two elements of the adult triad, consisting of psychomotor retardation, gait disturbance psychotic-like behavior, mild dementia, and urinary or fecal incontinence. Acta Neurol Scand 73 6: Search Advanced search allows to you precisely focus your query. All of which were within normal limits. MRI is the best modality to image anatomical changes and can further support the diagnosis with CSF flow studies and magnetic resonance spectroscopy.

Items tagged “hakim-adams triad”

There seems to be an association between Hakim syndrome and either generalized vascular disease or deep white matter infarctions in adults. The typical gait abnormality in NPH is a broad-based, slow, short-stepped, “stuck to the floor” or “magnetic” movement. Loading Stack – 0 images remaining.

Normal pressure hydrocephalus remains a controversial entity with often ambiguous imaging aeams. Purchase access Subscribe to JN Learning for one year.

NPH exhibits a classic triad of clinical findings known as the Adams triad or Hakim’s triad.

In patients with idiopathic normal pressure hydrocephalus postoperative cerebral perfusion changes measured by dynamic susceptibility contrast magnetic resonance imaging correlate with clinical improvement. During the perioperative period, the patient presented with septic shock related to small intestine necrosis. For suspected cases of normal pressure hydrocephalus NPHcerebral spinal fluid CSF shunting is the first-line treatment.


The authors declare that the research was adamd in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. Cockayne’s syndrome is characterized by cachectic dwarfism, neurological dysfunction, and cutaneous sunlight sensitivity.

Normal pressure hydrocephalus

Enlarged ventricles put increased pressure on the adjacent cortical tissue and cause myriad effects in the patient, including distortion of the fibers in the corona radiata. Author Contributions MS was the referent doctor of the patient and the author of the manuscript.

The gait disturbance can be classified as mild, marked, or severe. Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account.

From Wikipedia, the free encyclopedia. The incidence of NPH increases with advancing age, and most patients are over the age of Author information Article notes Copyright and License information Disclaimer. Acetazolamide and other diuretics are not recommended except for limited use in patients who are not candidates for placement of a shunt. Gait and cognitive function are typically tested just before and within hours after the LP to assess for signs of symptomatic improvement.

Exact epidemiology is difficult to establish, as the diagnosis is often not made in nursing home patients for the following reasons:. Brain CT showed diffuse periventricular hypodensities first diagnosed as age-related leukoaraiosis with no obvious signs of recent ischemic or hemorrhagic cerebrovascular accident.