Concomitant Idiopathic Intracranial Hypertension, Normal Pressure Hydrocephalus, and Pleomorphic Xanthoastrocytoma: A Case Report and Review of the Literature

Table 1

Summary of similar cases in the literature.

Reference	Age/sex	Clinical presentation	Type and location of the tumor	IIH, NPH, or hydrocephalus	Management	Outcome
Naydenov et al. [6]	58/F	Six-month history of progressive gait disturbances, urinary incontinence, and dementia	Left temporoparietal meningioma	NPH	Total resection	Transient right-hand paresis that resolved after 1 month. Symptoms of NPH improved after 1 month
Naydenov et al. [6]	68/M	Eighteen-month history of involuntary LT arm movement + progressive gait disturbances and urinary incontinence	Right frontotemporal glioblastoma	NPH	Partial resection	Died 3 months later from the consequences of glioblastoma
Delgado-Alvarado et al.[7]	27/M	Progressive vision loss px: papilledema	Pleomorphic xanthoastrocytoma	IIH	VP shunt	Not mentioned
Sharma et al. [4]	32/F	Refractory headache + right 6^th nerve palsy	Multiple meningiomas	IIH	Resection of the largest lesion followed by VP shunt 7 months later	Complete symptom resolution 6 weeks after VP shunt insertion
Sharma et al. [4]	40/F	Nausea, tinnitus, headache, visual defect (central and inferior visual field defect in her left eye), and papilledema	Meningioma	IIH	Left VP shunt for IIH management followed by meningioma resection	Significant visual improvement; other symptoms persisted
Sharma et al. [4]	49/F	Left visual field deficits and papilledema	Parietooccipital meningioma	IIH	Right frontal VP shunt followed by gamma knife radiosurgery 1 year later for the meningioma	Significant symptom improvement and resolution of visual complaints
Present case	51/F	Gait imbalance, urinary incontinence, confusion, headache, and progressive visual loss	Frontal PXA	NPH and IIH	Surgical resection and VP shunt	General symptomatic improvement