What do my MRI test results indicate?
Moderate diffuse cerebral and cerebellar volume loss. The ventricles are
tely enlarged, however the cerebral sulci are also enlarged. There
is mild crowding of the cerebral sulci over the convexities
Dementia more probable than NPH.
Hello and thanks for using HCM.
I have read your question and understand your concerns.
A small degree of brain volume loss found on MRI is normal as we age.
Significant volume loss of cerebral and cerebellar mass with enlarged ventricles is a common finding in dementias (Alzheimer's for example), rather than normal pressure hydrocephalus.
Since there are only cognitive function changes too, dementia is the most probable diagnosis.
Confirmation of NPH diagnosis requires significant improvement in cognitive function after removing cerebrospinal fluid through lumbar puncture, besides the characteristic symptoms of walking difficulties, urinary incontinence and cognitive changes.
Mental state examination also is needed to support the dementias diagnosis.
Hope you found the answer helpful.
Let me know if I can assist you further.
Temporal shrinking a sign of dementia.
Welcome back and thanks for being on follow up.
Temporal and hippocampal shrinking is more related to dementia, than NPH.
Since MRA was normal, vascular dementia is excluded as a possibility, Alzheimer's should be considered further since there is only cognitive impairment.
Hope this helps.
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