30th April 2024

A 78-year-old male presents with a six-month history of abnormal gait and difficulty with his memory

A 78-year-old male presents with a six-month history of abnormal gait and difficulty with his memory. He has recently developed urinary incontinence. MRI imaging of his head showed enlarged lateral and third ventricles. A Lumbar puncture showed a normal opening pressure; however, his symptoms did improve with removal of some CSF. Given the likely diagnosis, what is likely to be the most effective management strategy to improve his symptoms?

Select the SINGLE most appropriate option from the list below. Select ONE option only.