A pre-hospital clinician is managing a 70-year-old female who has developed acute confusion, urinary incontinence, and an unsteady gait over 3 weeks. ...

Question

A pre-hospital clinician is managing a 70-year-old female who has developed acute confusion, urinary incontinence, and an unsteady gait over 3 weeks. Her family reports she has been increasingly forgetful. CT brain in hospital shows dilated ventricles without cortical atrophy. What is the most likely diagnosis?

Accepted Answer

Normal pressure hydrocephalus - the classic triad is dementia, gait disturbance, and urinary incontinence (the 'wet, wacky, wobbly' triad)

Answer

Subdural haematoma

Answer

Urinary tract infection causing delirium

Answer

Alzheimer's disease

Answer

Parkinson's disease

uk-dipimc MCQ (SBA): Normal Pressure Hydrocephalus