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File:Normal pressure hydrocephalus versus atrophy.jpg

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Summary

Description
English: Head CT in normal pressure hydrocephalus (left image) and head MRI (right image), in the coronal plane at the level of the posterior commissure.
  • In the left image, the CSF spaces over the convexity near the vertex are narrowed ("tight convexity", red circle), as are the medial cisterns (red circle) - these are typical findings of NPH. On the right image, however, the CSF spaces over the convexity near the vertex (red arrow) and the medial cisterns (green arrow) are widened, a finding consistent with brain atrophy.
  • The blue lines in both images indicate the callosal angle: an acute angle is typical of NPH (left image), while an obtuse angle is typical of brain atrophy (right image).
  • The blue arrows indicate leucoaraiosis (periventricular signal alterations). In the left image these may well represent transependymal CSF diapedesis due to NPH. The unilateral occurrence of these alterations in right image suggests they are probably due to vascular encephalopathy.
Date
Source (2015). "Neuroimaging in normal pressure hydrocephalus". Dementia & Neuropsychologia 9 (4): 350–355. DOI:10.1590/1980-57642015DN94000350. ISSN 1980-5764., in turn citing Kiefer & Unterberg, Dtsch Arztebl Int, 2012, with permission).
Author Benito Pereira Damasceno

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20 October 2015

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