Özet:

Another important cause among the central causes of walking disorder is the normal pressure ventricular expansion as in patients with hydrosphaly. In this study, we want to present a normal pressure hydrosphaly phenomenon in the visual examinations that appeal to the 63 year old with the difficulty to walk in the emergency service, where the venticular extension is normal. A 63-year-old woman has been given emergency care with difficulty walking and headache complaints. In the neurological examination, the subextracts are bilateral paresis (1/5-1/5). The patient has a cognitive impact. It was accompanied by a complaint. The patient's other system examination was natural. In the drawn IT was detected a noticeable development in the venticules and the secondary parankim areas of hydrosphaly were studied. The patient's cervical and cervical MRG was normally interpreted. After the detection of hydro-sephaly in the brain MRG, it was consulted to the neurology clinic and was deposited by the neurology as a normal-pressure hydrosphaly. The patient was infected with a ventriculoperitoneal chant by a brain surgery. There was no noticeable change in the patient's difficulty in walking, but he improved his agitation, speech disorder. The patient was expelled to the neurology clinic with recommendations after approximately 3 weeks of follow-up and treatment. Secondary central pathology (head trauma, stroke, etc.) which is underlying in patients who apply for emergency service with difficulty in walking or walking, especially in older patients. In the absence of normal pressure hydrosphaly should be taken into account and accordingly advanced screening examinations and treatments should be planned.

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