title: Management of hydrocephalus in Paget's disease. Case report.
abstract: The authors report on a case of Paget's disease with hydrocephalus in an elderly female with a favourable result after ventriculoperitoneal shunt. The neurological examinations at the time of admission revealed mild dementia, ataxic gait and urinary incontinence. Skull X-ray, CT-scan and MRI showed hydrocephalus and basilar impression. The pathophysiological hypothesis is discussed and the technical difficulties during the shunt surgery are described.
authors.affiliation: Department of Neurology, Hospital das Clinicas University of Sao Paulo, Brazil.
authors.forename: P H
authors.initials: PH
authors.lastname: Aguiar
authors.forename: M S
authors.initials: MS
authors.lastname: Andrioli
authors.forename: H N
authors.initials: HN
authors.lastname: Cabrera
authors.forename: N D
authors.initials: ND
authors.lastname: Cabral
authors.forename: M
authors.initials: M
authors.lastname: Scaff
mesh_terms: D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D006849:Hydrocephalus / Q000175:diagnosis / Q000601:surgery*; D007427:Intracranial Pressure / Q000502:physiology; D008279:Magnetic Resonance Imaging; D009460:Neurologic Examination; D010001:Osteitis Deformans / Q000175:diagnosis / Q000601:surgery*; D010985:Platybasia / Q000175:diagnosis / Q000601:surgery; D011183:Postoperative Complications / Q000175:diagnosis; D017287:Ventriculoperitoneal Shunt