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“Normal pressure hydrocephalus”: what's in a name?
  1. L Dunn
  1. Institute of Neurological Sciences, Southern General Hospital, 1345 Govan Road, Glasgow G51 4TF
  1. Correspondence to:
 Mr L Dunn;
 ltd1x{at}udcf.gla.ac.uk

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A nomenclature based on pathophysiology would improve treatment

In their paper in this issue (pp 9–12), Bret et al1 question the concept of normal pressure hydrocephalus (NPH) and propose renaming the condition chronic hydrocephalus. The original description of the condition is usually attributed to Hakim and Adams,2 although, as Bret and colleagues point out, the condition was probably described earlier. The original description was of a constellation of clinical symptoms and signs of symptomatic hydrocephalus without overt evidence of raised intracranial pressure rather than a defined pathophysiology. …

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