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- W1998310165 abstract "Hydrocephalus refers to an abnormal accumulation of cerebral spinal fluid (CSF) within the brain resulting in enlarged ventricles and subsequent distortion of periventricular structures [ [1] Thompson D. Hydrocephalus. Neurosurgery. 2009; 27: 130-134 Google Scholar ], while normal pressure hydrocephalus (NPH) is a specific form of communicating hydrocephalus where intra-ventricular CSF pressure remains in the normal range. As only a small disparity in pressure between the ventricles and surrounding subarachnoid space are needed to trigger absorption of interstitial fluid, ventricular enlargement still occurs in this condition [ [2] Levine D. Intracranial pressure and ventricular expansion in hydrocephalus: Have we been asking the wrong question?. J Neurol Sci. 2008; 269: 1-11 Abstract Full Text Full Text PDF PubMed Scopus (62) Google Scholar ], which is typically accompanied by symptoms of gait disturbance, urinary incontinence and cognitive impairment [ [3] Tsakanikas D. Relkin N. Normal pressure hydrocephalus. Semin Neurol. 2007; 27: 58-65 Crossref PubMed Scopus (49) Google Scholar ]. Although a number of movement disorders have been described in patients with hydrocephalus [ [4] Krauss J.K. Regel J.P. Droste D.W. et al. Movement disorders in adult hydrocephalus. Mov Disord. 1997; 12: 53-60 Crossref PubMed Scopus (105) Google Scholar ], the occurrence of tremor is a rare finding, which has consequently received very little attention in the literature and warrants further investigation. Here we present a case of an appendicular, predominantly lower-limb tremor occurring in a patient with concomitant idiopathic NPH, which demonstrated a marked reduction in amplitude following the insertion of a ventriculo-peritoneal shunt. The potential mechanisms underlying this clinical presentation are also discussed." @default.
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- W1998310165 date "2014-12-01" @default.
- W1998310165 modified "2023-09-27" @default.
- W1998310165 title "A case of shunt responsive tremor due to normal pressure hydrocephalus" @default.
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- W1998310165 doi "https://doi.org/10.1016/j.jns.2014.11.002" @default.
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