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[Clinical Picture] Compensated hydrocephalus

A 62-year-old woman with a medical history of hypertension and well-controlled diabetes mellitus type 2 was found unresponsive on the floor at home by her family. Her family reported that the day before admission she had appeared more tired and weak with altered mental status, but before that had been in normal health. On examination she had Glasgow coma score (GCS) of 3, a temperature of 39·4°C, tachycardia, and systolic blood pressure ranging from 170–200 mm Hg. She had weakness in her legs bilaterally, but review of systems was otherwise negative.

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