ICD-11 Criteria for Gambling Disorder (6C50) A collection of dice Foundation URI : http://id.who.int/icd/entity/1041487064 6C50 Gambling disorder Description Gambling disorder is characterised by a pattern of persistent or recurrent gambling behaviour, which may be online (i.e., over the internet) or offline, manifested by: 1. impaired control over gambling (e.g., onset, frequency, intensity, duration, termination, context); 2. increasing priority given to gambling to the extent that gambling takes precedence over other life interests and daily activities; and 3. continuation or escalation of gambling despite the occurrence of negative consequences. The pattern of gambling behaviour may be continuous or episodic and recurrent. The pattern of gambling behaviour results in significant distress or in significant impairment in personal, family, social, educational, occupational or other important areas of functioning. The gambling behaviour and other features are normally evident over a
Normal Pressure Hydrocephalus Overview Normal pressure hydrocephalus is a condition that is not due to a block within the ventricular system. Still, there is an obstruction in the subarachnoid space, preventing cerebrospinal fluid (CSF) from flowing over the ventricles. This condition is more common in the elderly. Aetiology A history of subarachnoid hemorrhage (SAH), head injury, or meningitis may be associated with the development of normal pressure hydrocephalus. Clinical Features The clinical features of normal pressure hydrocephalus include progressive memory impairment and dementia, slowness, marked unsteadiness of gait, and urinary incontinence. Investigations The removal of 50 ml of CSF can lead to a temporary improvement in cognition. CT or MRI can show dilatation of the ventricular system and relatively normal sulci. Periventricular lucencies can also be found on MRI. Management The treatment for normal pressure hydrocephalus involves the insertion of a shunt to improve the c