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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Causes Forgetfulness,unsteady Gait And Urinary Incontinence?

My neighbor is a 6year lung cancer survivor. He is 73 years old. In the last few months, he is forgetful, unsteady on his feet, lists to one side, falls asleep when you are talking to him, is starting to get incontinant at night. He has had an MRI and blood work and various tests, with no conclusive outcome. Any suggestions?
Fri, 22 Apr 2016
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Neurologist, Surgical,  's  Response
Hi,

I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you

Question : What causes forgetfulness,unsteady gait and urinary incontinence?
Answer : There is a Condition Called Normal Pressure Hydrocephalous (NPH) which causes all these three

The three symptoms you have mentioned are the classic features of Hakim's triad.

Consult a Neurosurgeon at once.
A Simple Surgery will offer Dramatic Improvement

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Let me know if I can assist you further.

Take care.
I find this answer helpful
Neurologist, Surgical,  Dr. Bruno Mascarenhas's  Response

Hi,

I am Dr.Bruno. I have read your question with care and understand your concerns. Let me try to help you

Question : What causes forgetfulness,unsteady gait and urinary incontinence?
Answer : There is a condition called as Normal Pressure Hydrocephalous which presents with all the features you mention. In fact the three problems are what is called as Adams triad or Hakim's triad

Question : Any suggestions?
Answer : Please consult a Neurosurgeon. He needs to undergo CSF Flow Study. The Neurosurgeon will find increased CSF Outflow Resistance and will do a CSF Diversionary Procedure which will have dramatic outcome in most patients

Hope you found the answer helpful.

If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions.

Let me know if I can assist you further.

Take care.
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What Causes Forgetfulness,unsteady Gait And Urinary Incontinence?

Hi, I am Dr.Bruno. I have read your question and understand your concerns. Let me try to help you Question : What causes forgetfulness,unsteady gait and urinary incontinence? Answer : There is a Condition Called Normal Pressure Hydrocephalous (NPH) which causes all these three The three symptoms you have mentioned are the classic features of Hakim s triad. Consult a Neurosurgeon at once. A Simple Surgery will offer Dramatic Improvement Hope you found the answer helpful. If you need any clarification / have doubts / have additional questions / have follow up questions, then please do not hesitate in asking again. I will be happy to answer your questions. Let me know if I can assist you further. Take care.