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Multiple Choice

Which apraxia is described as associated with normal-pressure hydrocephalus (NPH)?

Gait apraxia is the phenomenon described with normal-pressure hydrocephalus. In NPH, enlarged ventricles stretch periventricular and frontal-subcortical pathways that coordinate initiation and rhythmic stepping, producing a magnetic, shuffling gait that resembles an apraxic breakdown of walking rather than true muscle weakness. This gait disturbance is a hallmark of NPH, distinguishing it from other apraxias associated with parietal damage—such as dressing apraxia or constructional apraxia—or from hemi-neglect, which are not primary gait disturbances in this condition.

Gait apraxia is the phenomenon described with normal-pressure hydrocephalus. In NPH, enlarged ventricles stretch periventricular and frontal-subcortical pathways that coordinate initiation and rhythmic stepping, producing a magnetic, shuffling gait that resembles an apraxic breakdown of walking rather than true muscle weakness. This gait disturbance is a hallmark of NPH, distinguishing it from other apraxias associated with parietal damage—such as dressing apraxia or constructional apraxia—or from hemi-neglect, which are not primary gait disturbances in this condition.