Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research

Meningitis in the Guise of Dementia: Lyme-Induced Normal Pressure Hydrocephalus
Clin Med Res. 2023 Dec;21(4):226-229. doi: 10.3121/cmr.2023.1829.ABSTRACTWhile the cause of altered mentation in the elderly may be multifactorial, infectious etiologies may be missed. This case report aims to detail an account of a patient with dementia, found to have Lyme meningitis in the setting of a normal pressure hydrocephalus (NPH). The patient smelled of urine and presented with ambulatory dysfunction, fitting the "wet, wacky, and wobbly" triad of NPH while also having subjective chills and leukocytosis. Non-contrast brain CT scan showed dilated ventricles. Cerebrospinal fluid (CSF) studies suggested aseptic menin...
Source: Clinical Medicine and Research - January 31, 2024 Category: General Medicine Authors: Ryan Liu Matheus Polly Robert P Lennon Alexis Reedy-Cooper Source Type: research