Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report

Abstract

Obsessive compulsive symptoms presented during the course of chronic normal pressure hydrocephalus: a case report Normal pressure hydrocephalus (NPH) is usually presented with psychiatric symptoms. Obsessive compulsive disorder (OCD) and NPH comorbidity is rare and there are only few case reports on this topic.Our case who had chronic NPH secondary to intracranial hemorrhage presented with obsessive compulsive (OC) symptoms while he was treated at neurology inpatient clinic for epilepsy. He benefited from sertraline and quetiapine treatment. Our case is thought to be the first case in terms of comorbidity of chronic NPH and OC symptoms in Turkey.

Normal pressure hydrocephalus and mania symptoms: Case report

“…This relationship may be related to alterations in the activity of central serotonergic, dopaminergic, and noradrenergic neurotransmitters, and it is important to differentiate true psychiatric symptoms from misperceptions resulting from the patient's compromised ability to organize perceptual information. Patients with normal pressure hydrocephalus may develop frontal-dominant symptoms, such as personality changes, anxiety, depression, psychotic syndromes, obsessive-compulsive disorder, Othello syndrome, shoplifting, and mania [3] , [4] , [5] , [6] , [7] , [8] , [9] .…”