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Idiopathic normal pressure hydrocephalus predominantly with prolonged fever and hyponatremia

From the Stroke and Neural Stem Cell Laboratory in Clinical Research Institute (Drs. Jung, Chu, and Roh), Department of Neurology (Drs. Jung, Chu, Jeong, Hong, Park, and Roh), Seoul National University Hospital, and Seoul National Hospital (Dr. Chu), Seoul, and Ilsan Paik Hospital (Dr. Jeong), Inje University, Ilsan, South Korea.

Address correspondence and reprint requests to Dr. J.-K. Roh, Department of Neurology, Seoul National University Hospital, 28, Yongon-Dong, Chongno-gu, 110-744, Seoul, Korea; e-mail: rohjk{at}snu.ac.kr

Described is a patient with hydrocephalus and a gait disorder with associated prolonged fever and hyponatremia. The authors made a diagnosis of normal pressure hydrocephalus (NPH) and performed a ventriculoperitoneal shunt, which improved the gait disturbance, accompanied by resolution of the fever and hyponatremia.