Silent hydrocephalus: the enigma of Hakim Adams

We present the case of a 71-year-old female patient, accompanied by her family, who

reported difficulty walking, progressive cognitive decline, and urinary incontinence.

Despite having received multiple treatments for Alzheimer's disease, Hakim-Adams

syndrome was suspected and confirmed by brain MRI. The therapeutic approach was

surgical, performed 72 hours after diagnosis, with the placement of a ventriculoperitoneal

shunt. The patient recovered well and was discharged two days after the procedure, with

outpatient follow-up. Currently, there is improvement in the described symptoms,

especially urinary incontinence and gait.