I am a very healthy slim and fit 62 year old woman. Nearly a year ago I was hospitalised with what was diagnosed as a very severe case of vestibular neuronitis. Following that (my neurologist says) many of the pathways in my brain shut down. I had to learn to walk read use a computer and oven and many other things. My memory is effected on many levels. I have returned to work parttime. I work as a mediator. I am still woozy and my memory eyesight and writing play tricks on me. My walking is clumsy and unbalanced. My head is uncomfortable. Turning my head is still difficult. Recently as a result of an MRI I have been shown to have NPH. With mild ischaemic changes Hyperdynamic CSF flow (23.4mls/min) with slightly enlarged ventricles. I have been referred for a neuropsyche assessment and to have another in 9 months time to assess degree of ongoing functional problems and then to weigh up the surgery options. My neurologist consulted a couple of neurosurgeons before getting back to me about the MRI results. Some of the things she told me about the condition were not accurate as to the definition. She has also told me CSF testing is not appropriate and that surgery is to be avoided. May I have your opinion on options for the best way forward please? Many thanks from NZ
2015-02-05 05:26:59
Vestibular Neuronitis is a rare disease which presents with severe Vertigo Vomiting and Imbalance in Walking. Most of the times it recovers completely without any permanent deficits within one week. A minority have recurrent vertiginous episodes following rapid head movement for years after onset. This does not cause memory problems. It does not shut down any pathways in the brain. So I feel the problem was not purely Vestibular Neuronitis but something more than that.
Incidentally Normal Pressure Hydrocephalus has been diagnosed on the MRI of the Brain. Normal Pressure Hydrocephalus presents with memory problems gait problems and in the later stages urinary incontinence. But your clinical profile does not entirely fit in to the diagnosis of Normal Pressure Hydrocephalus.
Get your Neuropsyche assessment done which will act as ba
2015-02-05 05:27:34
