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KMID : 0359720140320030198
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Journal of the Korean Neurological Association
2014 Volume.32 No. 3 p.198 ~ p.201
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Idiopathic Normal-Pressure Hydrocephalus Patient With an Ataxic Gait as the Predominant Presenting Manifestation
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Kang Kyung-Hun
Seo Seong-Don
Hwang Sung-Kyoo
Seo Jong-Geun
Park Jin-Sung
Park Sung-Pa
Lee Ho-Won
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Abstract
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A 43-year-old man presented with progressive ataxic gait of 5 months duration. His gait speed was almost normal, and he did not exhibit shuffling, freezing, or festination. A formal neuropsychological evaluation revealed a deficit in visuospatial function and memory with mild frontal dysfunctions. Brain MRI revealed communicating hydrocephalus with an Evans’ ratio of 0.32. After CSF removal by lumbar puncture the patient showed a marked improvement in gait as well as frontal lobe functions, and was finally diagnosed as having idiopathic normal-pressure hydrocephalus.
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KEYWORD
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Normal-pressure hydrocephalus, Gait disorders, Cerebrospinal fluid
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