Normal Pressure Hydrocephalus in Down Syndrome: The Report of Two Cases

Author:

Marano Massimo1,Pompucci Angelo2,Motolese Francesco1,Rossi Mariagrazia1,Coletta Ernesto3,Di Lazzaro Vincenzo1,Fasano Alfonso4567,Petrella Gianpaolo2

Affiliation:

1. Neurology, Neurophysiology and Neurobiology unit, Department of Medicine, University Campus Bio-Medico of Rome, Italy

2. Department of Neurosurgery, S. Maria Goretti Hospital, Latina, Italy

3. Neurology, ASL di Aprilia, Italy

4. Edmond J. Safra Program in Parkinson’s Disease and the Morton and Gloria Shulman Movement Disorders Centre and the, Toronto Western Hospital, UHN, Toronto, Ontario, Canada

5. Division of Neurology, Department of Medicine, University of Toronto, Toronto, Canada

6. Krembil Brain Institute, Toronto, Ontario, Canada

7. CenteR for Advancing Neurotechnological Innovation to Application (CRANIA), Toronto, ON, Canada

Abstract

Down syndrome (DS) is the most common cause of intellectual disability in infants and has a well-known relationship with the Alzheimer’s disease. The association between DS and the other pathologies of senescence, such as normal pressure hydrocephalus (NPH), has been poorly investigated. This series included two DS patients with NPH. In both cases, NPH symptoms were initially misdiagnosed as DS associated senescence. Patients were treated with ventricular-peritoneal shunt, showing a sustained improvement (1 and 4 years of follow-up). To our knowledge, this is the first description of the occurrence of NPH in adult patients with DS and surgical outcomes.

Publisher

IOS Press

Subject

Psychiatry and Mental health,Geriatrics and Gerontology,Clinical Psychology,General Medicine,General Neuroscience

Reference19 articles.

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3. M Das J , Biagioni MC (2019) Normal Pressure Hydrocephalus. StatPearls [Internet]. StatPearls Publishing, Treasure Island, FL.

4. The idiopathic normal-pressure hydrocephalus Radscale: A radiological scale for structured evaluation;Kockum;Eur J Neurol,2018

5. Validation of grading scale for evaluating symptoms of idiopathic normal-pressure hydrocephalus;Kubo;Dement Geriatr Cogn Disord,2008

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