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In the latest Case Records of the Massachusetts General Hospital, an 82-year-old woman was admitted to this hospital because of difficulty walking, falls, and cognitive decline.    The patient had been in her usual state of health, living independently with her husband and participating in a walking club, until 8 months before the current presentation, when generalized weakness developed. She began to walk more slowly and was no longer active with her walking club; she felt limited by pain in her feet.    Computed tomography (CT) of the head, performed without the administration of intravenous contrast material, revealed moderate ventriculomegaly that was out of proportion to the enlargement of the cerebral sulci (shown in figure). Read more about the case in “An 82-Year-Old Woman with Falls and Cognitive Decline” which includes differential and final diagnoses from guest physicians based on evidence from the test results, by Sharon Chung, M.D., et al., from University of California, San Francisco, and elsewhere: https://nej.md/4aLNcoK

  • An axial CT image of the head, obtained without the administration of intravenous contrast material, showing enlargement of the lateral ventricles (asterisks) that is out of proportion to the enlargement of the cerebral sulci
Nestor Cerda

BC Family Medicine / BC Geriatric Medicine / BC Obesity Medicine

3d

NPH

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