title: A dementia story with a happier ending.
abstract: A case is described of a 77-year-old lady who was diagnosed as having Parkinson's disease and was treated with antiparkinsonian drugs over a year with little effect. She was subsequently referred to a psychiatrist because of her aggressive outbursts and marked changes in personality. Investigations showed that she suffered from normal pressure hydrocephalus (NPH), and the insertion of a ventriculo-peritoneal shunt (VPS) led to a resolution of most of her problems, physical as well as mental.
authors.affiliation: Department of Psychiatry, Winwick Hospital, Warrington, UK.
authors.forename: S
authors.initials: S
authors.lastname: Praveen
authors.forename: E
authors.initials: E
authors.lastname: Salib
keywords: Parkinson's disease; VP shunt; dementia; hydrocephalus