Normal Pressure Hydrocephalus in a Known Multiple Sclerosis Patient:
A Rare but Considerable Comorbidity
Mohammad Hossein Harirchian, Nina Javadian and Ghasem
Iranian Center of Neurological Research, Neuroscience Institute, Imam Khomeini
Hospital Complex, Tehran University of Medical Sciences, Tehran, Iran
*Corresponding Author: Ghasem Farahmand, Iranian Center of Neurological
Research, Neuroscience Institute, Imam Khomeini Hospital Complex, Tehran
University of Medical Sciences, Tehran, Iran.
December 15, 2022; Published: March 09, 2023
Multiple sclerosis (MS) is a common chronic neurological disease with pathophysiology consisting of both chronic neuroinflammatory and degenerative process. MS affects people mostly from young age with disabling neurological deficits like impairment memory, gait, psychomotor retardation, and sphincter incontinence. All mentioned symptoms also present as Hakim’s triad in another well-known neurologic disease, i.e., normal pressure hydrocephalus (NPH).
Here, we present a rare case of communicating hydrocephalus in a relapsing-remitting MS patient. The patient admitted with a complaint of gait imbalance and memory problems, which could not be attributed to new MS attack and rather showed a good response to shunting surgery. Further, we focused on concurrency of two diseases NPH and MS in the current literature.
Keywords: Normal Pressure Hydrocephalus; Multiple Sclerosis; Shunt-Responsive Hydrocephalous
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