{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T09:58:57Z","timestamp":1785232737230,"version":"3.55.0"},"reference-count":21,"publisher":"FapUNIFESP (SciELO)","issue":"6","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arq. Neuro-Psiquiatr."],"published-print":{"date-parts":[[2014,6]]},"abstract":"<jats:p>Normal pressure hydrocephalus (NPH) is characterized by gait disturbance, dementia and\/or urinary incontinence associated with dilation of ventricular system with normal opening cerebrospinal fluid pressure. Wide scientifical evidence confirms association between NPH and psychiatric symptoms. We selected 35 patients with idiopathic normal pressure hydrocephalus from January 2010 to January 2012 in a Brazilian tertiary hospital and performed a formal psychiatric evaluation to identify psychiatric disorders. Psychiatric disorders were present in 71% of these patients, especially anxiety, depression and psychotic syndromes. NPH patients may develop symptoms with frontal dominance, such as personality changes, anxiety, depression, psychotic syndromes, obsessive compulsive disorder, Othello syndrome; shoplifting and mania. Unusual appearances of NPH symptoms may hinder early diagnosis and consequently proper treatment.<\/jats:p>","DOI":"10.1590\/0004-282x20140047","type":"journal-article","created":{"date-parts":[[2014,6,25]],"date-time":"2014-06-25T20:01:18Z","timestamp":1403726478000},"page":"435-438","source":"Crossref","is-referenced-by-count":40,"title":["Psychiatric symptoms are present in most of the patients with idiopathic normal pressure hydrocephalus"],"prefix":"10.1590","volume":"72","author":[{"given":"Matheus F.","family":"Oliveira","sequence":"first","affiliation":[{"name":"Hospital do Servidor P\u00fablico Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jo\u00e3o R. M.","family":"Oliveira","sequence":"additional","affiliation":[{"name":"Universidade Federal do Recife,  Brazil; Universidade Federal do Recife,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jos\u00e9 M.","family":"Rotta","sequence":"additional","affiliation":[{"name":"Hospital do Servidor P\u00fablico Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fernando C. G.","family":"Pinto","sequence":"additional","affiliation":[{"name":"Hospital do Servidor P\u00fablico Estadual de S\u00e3o Paulo,  Brazil"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"530","reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"S1","DOI":"10.2176\/nmc.48.S1","article-title":"Guidelines for management of idiopathic normal pressure hydrocephalus","volume":"48","author":"Ishikawa M","year":"2008","journal-title":"Neurol Med Chir (Tokyo)"},{"key":"ref2","doi-asserted-by":"crossref","first-page":"845","DOI":"10.1227\/NEU.0b013e318285b37c","article-title":"Role of Endoscopic third ventriculostomy and ventriculoperitoneal shunt in idiopathic normal pressure hydrocephalus: preliminary results of a randomized clinical trial","volume":"72","author":"Pinto FC","year":"2013","journal-title":"Neurosurgery"},{"key":"ref3","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1227\/NEU.0000000000000126","article-title":"Response to journal club: role of endoscopic third ventriculostomy and ventriculoperitoneal shunt in idiopathic normal pressure hydrocephalus: preliminary results of a randomized clinical trial","volume":"73","author":"Pinto FC","year":"2013","journal-title":"Neurosurgery"},{"key":"ref4","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1590\/0004-282X20130007","article-title":"Programmable valve represents an efficient and safe tool in the management of idiopathic normal pressure hydrocephalus patients","volume":"71","author":"Oliveira MF","year":"2013","journal-title":"Arq Neuropsiquiatr"},{"key":"ref5","doi-asserted-by":"crossref","first-page":"S17","DOI":"10.1227\/01.NEU.0000168184.01002.60","article-title":"The value of supplemental prognostic tests for the preoperative assessment of idiopathic normal-pressure hydrocephalus","volume":"57","author":"Marmarou A","year":"2005","journal-title":"Neurosurgery"},{"key":"ref6","doi-asserted-by":"crossref","first-page":"S4","DOI":"10.1227\/01.NEU.0000168185.29659.C5","article-title":"Diagnosing idiopathic normal-pressure hydrocephalus","volume":"57","author":"Relkin N","year":"2005","journal-title":"Neurosurgery"},{"key":"ref7","article-title":"Revisiting hydrocephalus as a model to study brain resilience","volume":"5","author":"Oliveira MF","year":"2011","journal-title":"Front Hum Neurosci"},{"key":"ref8","doi-asserted-by":"crossref","first-page":"465","DOI":"10.1017\/S1041610297004602","article-title":"Psychiatric manifestations of normal-pressure hydrocephalus: a short review and unusual case","volume":"9","author":"Pinner G","year":"1997","journal-title":"Int Psychogeriatr"},{"key":"ref9","doi-asserted-by":"crossref","first-page":"337","DOI":"10.2190\/HQXL-FV6T-03UF-XANH","article-title":"Psychiatric complications of hydrocephalus","volume":"31","author":"Alao AO","year":"2001","journal-title":"Int J Psychiatry Med"},{"key":"ref10","doi-asserted-by":"crossref","first-page":"S18","DOI":"10.1111\/j.1600-0447.1993.tb05612.x","article-title":"Normal pressure hydrocephalus: psychiatric findings before and after shunt operation classified in a new diagnostic system for organic psychiatry","volume":"373","author":"Lindqvist G","year":"1993","journal-title":"Acta Psychiatr Scand"},{"key":"ref11","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1155\/2009\/791491","article-title":"Neuropsychiatric symptoms in patients with idiopathic normal pressure hydrocephalus","volume":"21","author":"Kito Y","year":"2009","journal-title":"Behav Neurol"},{"key":"ref12","doi-asserted-by":"crossref","first-page":"231","DOI":"10.1016\/j.clineuro.2008.10.001","article-title":"CSF neurotransmitter metabolites and neuropsychiatric symptomatology in patients with normal pressure hydrocephalus","volume":"111","author":"Markianos M","year":"2009","journal-title":"Clin Neurol Neurosurg"},{"key":"ref13","doi-asserted-by":"crossref","first-page":"229","DOI":"10.1177\/089198879000300409","article-title":"Shoplifting associated with normal-pressure hydrocephalus: report of a case","volume":"3","author":"McIntyre AW","year":"1990","journal-title":"J Geriatr Psychiatry Neurol"},{"key":"ref14","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1097\/00005053-198708000-00010","article-title":"Normal pressure hydrocephalus presenting as mania","volume":"175","author":"Kwentus JA","year":"1987","journal-title":"J Nerv Ment Dis"},{"key":"ref15","doi-asserted-by":"crossref","first-page":"157","DOI":"10.1097\/00002060-199803000-00012","article-title":"Paranoia - 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