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Treatment of Idiopathic Normal Pressure Hydrocephalus by Persian Medicine: A Case Report



Kordafshari G1 ; Moghimi M2 ; Talebi Z3 ; Ghovati M3 ; Kenari HM4, 5
Authors
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Authors Affiliations
  1. 1. Faculty of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran
  2. 2. Persian Medicine Masiha Teb Shomal Knowledge-based Corporation, Sari, Iran
  3. 3. International Campus-School of Pharmacy, Tehran University of Medical Sciences, Tehran, Iran
  4. 4. Research Institute for Islamic and Complementary Medicine, Iran University of Medical Sciences, Tehran, Iran
  5. 5. Department of Persian Medicine, School of Persian Medicine, Iran University of Medical Sciences, Tehran, Iran

Source: Journal of Mazandaran University of Medical Sciences Published:2019

Abstract

Idiopathic normal pressure hydrocephalus (iNPH) is a chronic disease in adults. The standard treatment in this type of hydrocephalus is shunting which is accompanied by some complications and there is also uncertainty about response to treatment. Therefore, surgery is performed in only 10-20% of the cases with iNPH. Currently, oral acetazolamide and repetitive lumbar puncture for drainage of the cerebrospinal fluid are recommended in many patients. In this case report, a 34-year-old female patient with iNPH is introduced who received acetazolamide for the past two years, and repetitive lumbar punctures. These treatments reduced her symptoms for a short time, but had never disappeared the symptoms and after a while they intensified again. The patient was treated by Persian medicine and nutrition modification was also done. Within one year, there was no recurrence of the disease and no need for lumbar puncture. This case report highlights the need for further research on Persian medicine in treatment of iNPH. It is believed that Persian medicine could be of great benefit along with current treatments of hydrocephalus. © 2019, Mazandaran University of Medical Sciences. All rights reserved.
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