Question

A Patient falls down often with behavioral change and enuresis. What is the condition associated with him?

• A. Frontotemporal dementia
• B. Normal pressure hydrocephalus
• C. Parkinson's disease
• D. Alzheimer's disease

Answer 1

The Correct Option is B

To determine the condition associated with the patient, we examine the provided symptoms and match them to the most likely condition. The key symptoms presented are:

• Falls down often
• Behavioral changes
• Enuresis (involuntary urination)

These symptoms are characteristic of Normal Pressure Hydrocephalus (NPH). NPH is typically associated with a classic triad of symptoms often referred to as "wet, wacky, and wobbly":

• Gait disturbances (wobbly): This covers the patient frequently falling down due to difficulty with walking.
• Cognitive dysfunction (wacky): This includes behavioral changes and alterations in mental state.
• Urinary incontinence (wet): This condition causes enuresis as the patient loses control over urination.

Comparatively, other options such as:

• Frontotemporal dementia primarily features significant personality changes and language difficulties, not typically accompanied by enuresis.
• Parkinson's disease involves tremor, rigidity, bradykinesia, and postural instability, which can cause falls but does not usually present with all the listed symptoms.
• Alzheimer's disease involves memory decline and cognitive dysfunction without the early presence of severe gait disturbances or enuresis.

Thus, the symptoms presented most closely align with Normal Pressure Hydrocephalus.