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Cognitive Performance of Patient with Normal Pressure Hydrocephalus - Case Study

Publication at Faculty of Arts |
2014

Abstract

Hydrocephalus or an abnormal accumulation of cerebrospinal fluid in the brain is a clinical syndrome characterized mainly by disturbance gait, urinary incontinence and cognitive impairment. This paper aims to illustrate cognitive performance of a patient with normal pressure hydrocephalus before and after neurosurgical intervention.

Neuropsychological examination was done in years 2013 and 2014 before and one year after ventriculoperitoneal shunt insertion. Test battery included: Orientation (from MMSE), Auditory Verbal Learning Test (AVLT), Rey-Osterrieth Complex Figure Test (ROCFT), Verbal Fluency (FAS), Trail Making Test (TMT), Block Design (WAIS-R), Beck Depression Inventory-II (BDI-II).

Compared to the first examination where a multidomain cognitive deficit was found results of one-year follow up show improvement in the most of measured parameters , namely in attention concentration and distribution, psychomotor tempo, learning capacity, retrieval of both auditive and visual material, visuo-spacial abilities and orientation.