January 11, 2019

It is thought to have been initially described by Colombian neurosurgeon Salomón Hakim and R D Adams in , although it may actually have been described. Items tagged “hakim-adams triad”. All Results · Articles · Cases; Blank. 1 result found. Case. Normal pressure hydrocephalus. Diagnosis certain. Dr Andrei. Hakim S: Algunas observaciones sobre la presion del L.C.R. sindrome Hakim S, Adams RD: The special problem of symptomatic hydrocephalus with normal.

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Bruno Bissonnette, et al. Marked is classified as difficulty walking because of considerable instability. Lateral ventriculomegaly and periventricular hypointensities.

Tag: hakim-adams triad |

Case 6 Case 6. National Center for Biotechnology Information hzkim, U. The incidence of NPH increases with advancing age, and most patients are over the age of The periventricular white matter ischemic change has also been hypothesised to slow the flow of CSF through the extracellular spaces, resulting in a “back-pressure” effect, leading to ventricular enlargement.

This is caused by distortions simdrome at the frontal lobe and the subcortex. National Institute of Neurological Disorders and Stroke. The precise relationship between this and the genesis of brain injury in the newborn is unknown. Normal pressure hydrocephalus should be included in the differential diagnosis of delayed postoperative arousal, especially in the elderly. The use, distribution or reproduction in other forums is permitted, provided the original author s or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice.


A second theory suggests sindrone results from weakening of the ventricular wall due to periventricular white matter ischemic damage 3.

About MyAccess If your institution subscribes to this resource, and you don’t have a MyAccess Profile, please contact your library’s reference desk for information on how to gain access to this resource from off-campus. Most clinicians will assume that one is referring to idiopathic normal pressure hydrocephalus if no qualifier is used.

Daams typical gait abnormality in NPH is a broad-based, slow, short-stepped, “stuck to the floor” or “magnetic” movement.

Conflict of Interest Statement The authors declare that the research was conducted in the absence of any commercial or financial addams that could be construed as a potential conflict of interest. On the other hand, recent data suggested that the occurrence of low cerebral blood flow during iNPH clinical course might be responsible sindrmoe the observed neurological dysfunction 5.

Case 8 Case 8. Naloxone test was also attempted to exclude residual fentanyl impregnation, and residual drug induced muscle paralysis was clinically excluded since the patient showed normally oriented four limbs movements in response to painful stimuli.

Sign in to download free article PDFs Sign in to access your subscriptions Sign in to your personal account. Favourable prognostic factors include 3.

By using this site, you agree to the Terms of Use and Privacy Policy. This article is focused on idiopathic cases. The challenge is identifying those patients which will benefit from shunting. NPH exhibits a classic triad of clinical findings known as the Adams triad or Hakim’s triad.


Loading Stack – 0 images remaining. Peck, MD ; Jay H. The unilateral occurrence of these alterations right image suggests they are probably due to vascular encephalopathy. MR differential diagnosis of normal-pressure hydrocephalus and Alzheimer disease: Not defined in the literature. In their observation, the authors incriminated anesthetic drugs as a trigger of long-lasting postoperative drowsiness and altered consciousness in this setting.

NPH is often misdiagnosed as Parkinson’s disease due to gait or Alzheimer’s disease due to cognitive dysfunction. Views Read Edit View history. Most patients undergo ventriculoperitoneal shunt derivation without prior assessment of CSF pressure, so the term chronic hydrocephalus has been proposed as an alternative title. Hydrocephalus was first described by Hippocrates. Pop-up div Successfully Displayed This div only appears when the trigger link is hovered over.

Hakim–Adams Syndrome: An Unusual Cause of Reversible Postoperative Coma

Blood lactate level was normal. Support Radiopaedia and see fewer ads. Surgical procedure consisted of resection of a small intestinal necrotic volvulus. J Neurol Neurosurg Psychiatry