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NEUROLOGY 1979;29:513
© 1979 American Academy of Neurology

Hydrocephalic dementia in Paget disease of the skull

Treatment by ventriculoatrial shunt

Y. Goldhammer, J. Braham and I. Z. Kosary

Department of Neurology and the Department of Neurosurgery, The Chaim Sheba Medical Center, Sackler School of Medicine, Tel-Aviv University, Tel-Hashomer, Israel.

Severe dementia and ataxia in an elderly woman were related to hydrocephalus resulting from Paget disease of the skull, with basilar impression. Ventriculoatrial shunting resulted in dramatic improvement. This procedure, rather than suboccipital decompression, is probably the operation of choice, and should be carried out at an early stage.

Dr. Goldhammer's address is The Chaim Sheba Medical Center, Tel-Hashomer, Israel.

Accepted for publication June 30, 1977.






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