Wacky, Wet, and Wobbly: A Journey Through a Lifetime of Undiagnosed Hydrocephalus (Water on the Brain)

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So there you have it: 10 of the best wet Wednesday memes around right now that will make this hump day oh so much better! Conclusion Oh, way cool. I didn't expect to get wet tonight, but it's all good fun," he replied as he slowly ate his food. Gradual onset after age 40 years, symptoms duration of ≥ 3–6 months, clinical evidence of gait or balance impairment, and impairment of cognition or urinary incontinence This meme features a cat looking completely unimpressed as it stares out into the rain. It’s perfect for those days when you just can’t muster up any enthusiasm for Wet Wednesday! 3. The Dancing Rain Cloud

The syndrome is often divided into two groups, primary (also called idiopathic) and secondary, based on cause. The underlying etiology of primary NPH has not yet been identified. Primary NPH affects adults age 40 years or older, most commonly affecting the elderly. Secondary NPH can affect persons of any age and occurs due to conditions such as subarachnoid hemorrhage, meningitis, brain surgery, brain radiation, or traumatic brain injury. [7] Diagnosis [ edit ] Evan's index is the ratio of maximum width of the frontal horns to the maximum width of the inner table of the cranium. An Evan's index more than 0.31 indicates hydrocephalus. [8] His portraits showcase the camaraderie and affection shared between friends and lovers as they frolic in the water, A 67-year-old male presented due to difficulty with balance. He reported the last time he was able to walk in a straight line was approximately one year ago. At that time he was healthy and had no other symptoms.He progressively developed difficulty with his balance and noticed he had to separate his legs to be able to keep himself from falling.He had a cane and a walker and has used them for the most part of the current year. He also complained of short-term memory loss, mainly for day-to-day events, and also some occasional word-finding difficulty. He was otherwise completely independent in feeding, dressing, hygiene, and all other activities of daily living. He also reported an increased frequency of urination, explaining that on a couple of occasions, he had urinated on himself because he was not able to reach the bathroom fast enough. He was uncertain if he was able to feel a full bladder. His past medical history was significant for diabetes, hypertension, and atrial fibrillation. Gait symptoms improve in ≥ 85% patients. Cognitive symptoms improve in up to 80% of patients when surgery is performed early in the disease course. Urgency and incontinence improves in up to 80% of patients, but only in ≤ 50–60% of patients with shunt implanted late in disease course. The most likely patients to show improvement are those who show only gait deviation, mild or no incontinence, and mild dementia. The risk of adverse events related to shunt placement is 11%, including shunt failure, infections such as ventriculitis, shunt obstruction, over- or under-drainage, and development of a subdural hematoma. [14] [15] [16] Medications [ edit ]The fifth meme shows two people walking side by side carrying umbrellas but still getting completely soaked from the rain. The caption reads: “When your umbrella does more harm than good”. This one will definitely bring out some laughs as we all relate to how useless umbrellas can sometimes be during heavy downpours. The Flying Turtle This meme shows an incredible turtle soaring through the sky above all of those pesky raindrops ! Whether you’re feeling lazy or adventurous , this turtle has something to offer everyone on Wet Wednesday . < br >< br > Yes, mainly for the parties, not the outdoor action. Ireally like to relax and bathe in this kind of hooded suit.

Imaging from magnetic resonance imaging (MRI) or computed tomography (CT) is needed to demonstrate enlarged ventricles and no macroscopic obstruction to cerebrospinal fluid flow. Imaging should show an enlargement to at least one of the temporal horns of lateral ventricles, and impingement against the falx cerebri resulting in a callosal angle ≤ 90° on the coronal view, showing evidence of altered brain water content, or normal active flow (which is referred to as "flow void") at the cerebral aqueduct and fourth ventricle.See our emergency management guides for more details. General inspection from the end of the bed: ABC

The best place to teach adventure trekking skills is at the local leisure centre with swimming poolsI'm sure that will happen tomorrow as part of my team leader job; my staff uniform is a joggingsuit."

The majority of cases are primary NPH. Incidence is estimated to 0.3–3% in patients older than 60 years and raising with older age [17] Its prevalence is reported to be less than 1% in persons under the age of 65, and up to 3% for persons aged 65 or older. No difference in incidence is seen between men and women. [6] [18] [19] Among individuals with dementia, the incidence of NPH is thought to be between 2 and 6%. The third meme features an image of someone running in the rain with their clothes soaked through. The caption reads: “When it rains so hard that your clothes are already wet before you even leave the house”. This one is sure to make everyone laugh as they relate to how hard it can be when we forget our umbrellas outside. It’s Wednesday, which means it’s time to laugh and enjoy the rain. It’s the perfect day to grab an umbrella and get outside for some fresh air. But if you prefer to stay indoors, there are plenty of hilarious wet Wednesday memes to keep you entertained. From cats in raincoats to funny jokes about soggy shoes, these memes will make your day a bit brighter. So get ready to laugh along with these 15 hilarious wet Wednesday memes! The Dancing Ladybug This hilarious meme features a ladybug dancing in puddles while wearing her favorite yellow raincoat ! She ‘ s sure to bring some joy and laughter during those rainy days . < br >< br >

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Vanneste J, Augustijn P, Dirven C, Tan WF, Goedhart ZD (January 1992). "Shunting normal-pressure hydrocephalus: do the benefits outweigh the risks? A multicenter study and literature review". Neurology. 42 (1): 54–59. doi: 10.1212/wnl.42.1.54. PMID 1734324. S2CID 29656326. Normal-pressure hydrocephalus ( NPH), also called malresorptive hydrocephalus, is a form of communicating hydrocephalus in which excess cerebrospinal fluid (CSF) occurs in the ventricles, and with normal or slightly elevated cerebrospinal fluid pressure. As the fluid builds up, it causes the ventricles to enlarge and the pressure inside the head to increase, compressing surrounding brain tissue and leading to neurological complications. The disease presents in a classic triad of symptoms, which are memory impairment, urinary frequency, and balance problems/ gait deviations (note: this diagnosis method is obsolete [1] [2]). The disease was first described by Salomón Hakim and Adams in 1965. [3] The sixth meme features someone who has clearly just been caught in the rain without any protection! With their clothes clinging tightly to their body and their hair dripping wetly, this person looks like they’ve just stepped out of the shower! The seventh meme features an image of someone drenched in water from head-to-toe with glasses on top saying “Me trying to ignore that it’s Wet Wednesday.” This one hilariously captures how even when we try our best not to let wet weather ruin our plans, things don’t always go as planned! The eighth meme shows two cats walking into a bar together with umbrellas saying “Us trying to stay dry on Wet Wednesdays.” With its clever puns and witty humor, this one is sure to bring laughter all around. Wet Wednesday memes also capture how I feel about the rest of my day ahead. On days like this, all I want to do is stay in bed and avoid going out in the rain. Even if I do manage to get myself out of bed, I still find myself dreading the day ahead. The thought of having to go outside in the rain makes me want to stay inside and cuddle up under my blanket for the rest of the day. 3. Nothing Better To Do