DR Medhat MRCP

Investigations
1. Decreased red cell trans-ketolase.
2. MRI
Treatment :
urgent replacement of thiamine.
Inability to acquire new memories and confabulation suggests the development of
Korsakoff's syndrome.
Normal Pressure Hydrocephalus:
- Is a reversible cause of dementia seen in elderly patients.
- It is thought to be secondary to CSF absorption at the arachnoid villi.
- These changes may be secondary to head injury, subarachnoid hemorrhage or
meningitis
A classical triad of features is seen:
1. Urinary incontinence
2. Dementia and bradyphrenia (slowness of thought)
3. Gait abnormality (may be similar to parkinson's disease)
Imaging:
Hydrocephalus with an enlarged fourth ventricle
Management
Ventriculo-peritoneal shunting.
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