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Letters   |    
Normal Pressure Hydrocephalus in a Professional Athlete: a Model of Brain Functional Reserve
Matheus F. de Oliveira, M.D.; Fernando C. G. Pinto, Ph.D.; José M. Rotta, M.D.
The Journal of Neuropsychiatry and Clinical Neurosciences 2014;26:E39-E40. doi:10.1176/appi.neuropsych.13040095
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The authors report no financial relationships with commercial interests.

Neurosurgery Residency Program, Dept. of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, São Paulo-Brazil

Dept. of Neurosurgery, Hospital do Servidor Público Estadual de São Paulo, São Paulo, Brazil

Send correspondence to Dr. de Oliveira; e-mail: mafernoliv@yahoo.com.br

Copyright © 2014 by the American Psychiatric Association

Extract

To the Editor: Normal pressure hydrocephalus (NPH) is characterized by gait disturbance, dementia, and/or urinary incontinence in addition to dilation of ventricular system because of disturbance of CSF circulation with normal CSF pressure.1 NPH can present in two forms: primary (also known as idiopathic), where there are no causative disorders known; and secondary, where other disorders such as trauma, infection, and hemorrhage are causes for hydrocephalus.1,2 We report a unique case of a patient with remarkable fitness and NPH.

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Figure 1. Neuroimage of Patienta

a In A, B, and C, axial T1 images revealing hydrocephalus are shown, with Evans ratio of 0.42. In D and E, pervious cerebral aqueduct with hyperdynamic flow are shown.

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References

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