Normal-Pressure Hydrocephalus in Rheumatic Patients — A Diagnostic Pitfall

In our rheumatologic clinics the diagnosis of idiopathic "normal"-pressure hydrocephalus has been made in six patients during the past three years. This disorder is characterized by the triad of gait disturbance, urinary incontinence, and dementia, all variable in severity.^{1 2 3} Since this diagnosis had not been made previously in our department of rheumatology, we assume that it has hitherto been overlooked.The mean period between the development of the first symptoms of normal-pressure hydrocephalus in our patients and the time when the disorder was diagnosed was 3.3 years; symptoms and signs were at first ascribed to arthritis and age. The main . . .