Abstract
An82-year-old female patient with probable idiopathic normal pressure hydrocephalus (iNPH), with compatible findings of MRI and results of tap tests, showed having cervical spondylosis and astasia and abasia. After taking an interval from a tap test, therapy of her neck traction was done, which improved her gait disturbance. So we diagnosed she had both iNPH and cervical spondylotic astasia and abasia as the cause of her gait disturbance. Considering this result and her age, we decided to observe her condition and maintain cervical traction and not to do shunt operation. She was held in good condition and become able to walk by herself, without need to use a wheelchair.
In such cases of elderly patients with gait disturbance, we had better investigate their etiology thoroughly and choose noninvasive treatment as possible.
