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Idiopathic normal-pressure hydrocephalus
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- Idiopathic normal-pressure hydrocephalus presents a diagnostic challenge
- Gait dysfunction described as “freezing” and “magnetic” should trigger suspicion for the condition
- Magnetic resonance imaging of the brain showing ventriculomegaly with no obstruction to the flow of cerebrospinal fluid supports the diagnosis
- A high-volume lumbar puncture can be used as a confirmatory test and to select patients for surgery
- A prompt referral to a neurosurgeon is recommended in selected patients
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