SlideShare ist ein Scribd-Unternehmen logo
1 von 28
A Sharing Session  on Normal Pressure Hydrocephalus (NPH) Suhaila Mohamed Usuludin 17 April 2008
Cerebrospinal Fluid (CSF) ,[object Object],[object Object],[object Object]
Cerebrospinal Fluid (CSF)
Cerebrospinal Fluid (CSF)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cerebrospinal Fluid (CSF)
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cerebrospinal Fluid (CSF)
NPH ,[object Object],[object Object],[object Object],[object Object],[object Object]
NPH ,[object Object],[object Object],[object Object]
Symptoms of NPH ,[object Object],[object Object],[object Object],[object Object]
Impaired gait ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],Assessment: Impaired gait
Urinary Incontinence ,[object Object],[object Object],[object Object],[object Object]
Impaired Cognitive Functions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assessment of Impaired Cognitive Functions
NOT  Expected Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Diagnoses ,[object Object],[object Object],[object Object],[object Object],[object Object]
How is it Diagnosed? ,[object Object],[object Object],MRI showing ventriculomegaly
[object Object],[object Object],[object Object],How is it Diagnosed?
Surgical Management ,[object Object],[object Object],[object Object]
VP Shunt ,[object Object],[object Object],[object Object],With five pressure level settings, the programmable, adjustable Strata® valve (top) can be "fine-tuned" by the physician after shunt surgery for NPH. Adjusting the valve and verifying the setting is done quickly in the physician's office using a simple set of magnetic tools (bottom), eliminating the need for additional surgery.
Venticuloatrial Shunt (VA Shunt) ,[object Object],[object Object],[object Object]
To Shunt or Not To Shunt? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operation Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Operation Risks ,[object Object],[object Object],[object Object],[object Object]
Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Rehabilitation Implications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object]
Thank You

Weitere ähnliche Inhalte

Was ist angesagt?

Normal pressure hydrocephalus presentation
Normal pressure hydrocephalus presentationNormal pressure hydrocephalus presentation
Normal pressure hydrocephalus presentationBeshr Nammouz
 
Normal pressure hydrocephalus
Normal pressure hydrocephalusNormal pressure hydrocephalus
Normal pressure hydrocephalusNeurologyKota
 
Anaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursAnaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursDr.S.N.Bhagirath ..
 
Supportive management in neurological icu
Supportive management in neurological icuSupportive management in neurological icu
Supportive management in neurological icuNeurologyKota
 
Hydrocephalous, shunting & shunt systems
Hydrocephalous, shunting & shunt systemsHydrocephalous, shunting & shunt systems
Hydrocephalous, shunting & shunt systemsMukhtar Khan
 
Anaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryAnaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryChamika Huruggamuwa
 
Presentation1.pptx, radiological imaging of hydrocephalus.
Presentation1.pptx, radiological imaging of hydrocephalus.Presentation1.pptx, radiological imaging of hydrocephalus.
Presentation1.pptx, radiological imaging of hydrocephalus.Abdellah Nazeer
 
Increased intracranial pressure
Increased intracranial pressureIncreased intracranial pressure
Increased intracranial pressureShweta Sharma
 
Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)AnaestHSNZ
 
Edward Fohrman | Anesthetic Considerations for Carotid Endarterectomy
Edward Fohrman | Anesthetic Considerations for Carotid EndarterectomyEdward Fohrman | Anesthetic Considerations for Carotid Endarterectomy
Edward Fohrman | Anesthetic Considerations for Carotid EndarterectomyEdward Fohrman
 
Care of patient with external ventricular drain
Care of patient with external ventricular drainCare of patient with external ventricular drain
Care of patient with external ventricular drainShruti Shirke
 
2 Nd Icp
2 Nd Icp2 Nd Icp
2 Nd Icpmycomic
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryDhritiman Chakrabarti
 
Neurosurgical Emergencies Final
Neurosurgical Emergencies   FinalNeurosurgical Emergencies   Final
Neurosurgical Emergencies FinalAndrew Ferguson
 
Measurement and management of increased intracranial pressure
Measurement and management of increased intracranial pressureMeasurement and management of increased intracranial pressure
Measurement and management of increased intracranial pressureDrhardik Patel
 
Anaesthesia Management of Posterior cranial fossa surgeries
 Anaesthesia Management of Posterior cranial fossa surgeries Anaesthesia Management of Posterior cranial fossa surgeries
Anaesthesia Management of Posterior cranial fossa surgeriesNaveen Cheran
 
Neonatal head usg
Neonatal head usgNeonatal head usg
Neonatal head usgREKHAKHARE
 

Was ist angesagt? (20)

Normal pressure hydrocephalus presentation
Normal pressure hydrocephalus presentationNormal pressure hydrocephalus presentation
Normal pressure hydrocephalus presentation
 
Normal pressure hydrocephalus
Normal pressure hydrocephalusNormal pressure hydrocephalus
Normal pressure hydrocephalus
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
Anaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial TumoursAnaesthetic Management of Supratentorial Tumours
Anaesthetic Management of Supratentorial Tumours
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
Supportive management in neurological icu
Supportive management in neurological icuSupportive management in neurological icu
Supportive management in neurological icu
 
Raised intracranial pressure
Raised intracranial pressureRaised intracranial pressure
Raised intracranial pressure
 
Hydrocephalous, shunting & shunt systems
Hydrocephalous, shunting & shunt systemsHydrocephalous, shunting & shunt systems
Hydrocephalous, shunting & shunt systems
 
Anaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgeryAnaesthetic considerations for posterior fossa surgery
Anaesthetic considerations for posterior fossa surgery
 
Presentation1.pptx, radiological imaging of hydrocephalus.
Presentation1.pptx, radiological imaging of hydrocephalus.Presentation1.pptx, radiological imaging of hydrocephalus.
Presentation1.pptx, radiological imaging of hydrocephalus.
 
Increased intracranial pressure
Increased intracranial pressureIncreased intracranial pressure
Increased intracranial pressure
 
Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)Anesthesia for neurosurgery (zuhura)
Anesthesia for neurosurgery (zuhura)
 
Edward Fohrman | Anesthetic Considerations for Carotid Endarterectomy
Edward Fohrman | Anesthetic Considerations for Carotid EndarterectomyEdward Fohrman | Anesthetic Considerations for Carotid Endarterectomy
Edward Fohrman | Anesthetic Considerations for Carotid Endarterectomy
 
Care of patient with external ventricular drain
Care of patient with external ventricular drainCare of patient with external ventricular drain
Care of patient with external ventricular drain
 
2 Nd Icp
2 Nd Icp2 Nd Icp
2 Nd Icp
 
Anaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgeryAnaesthesia for posterior fossa surgery
Anaesthesia for posterior fossa surgery
 
Neurosurgical Emergencies Final
Neurosurgical Emergencies   FinalNeurosurgical Emergencies   Final
Neurosurgical Emergencies Final
 
Measurement and management of increased intracranial pressure
Measurement and management of increased intracranial pressureMeasurement and management of increased intracranial pressure
Measurement and management of increased intracranial pressure
 
Anaesthesia Management of Posterior cranial fossa surgeries
 Anaesthesia Management of Posterior cranial fossa surgeries Anaesthesia Management of Posterior cranial fossa surgeries
Anaesthesia Management of Posterior cranial fossa surgeries
 
Neonatal head usg
Neonatal head usgNeonatal head usg
Neonatal head usg
 

Ähnlich wie Normal Pressure Hydrocephalus

CSF circulation disorders
CSF circulation disordersCSF circulation disorders
CSF circulation disordersZubair Sarkar
 
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...Nurse ReviewDotOrg
 
Cerebrovascular Disease
Cerebrovascular DiseaseCerebrovascular Disease
Cerebrovascular Diseasemycomic
 
Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill KnightDeath by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill KnightSMACC Conference
 
Cerebrovascular accident
Cerebrovascular accidentCerebrovascular accident
Cerebrovascular accidentbijayaDhakal4
 
Birth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhageBirth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhageSoumalya Kundu
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Syncope
Syncope  Syncope
Syncope SMSRAZA
 
Anaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionAnaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionNaveen Kumar Ch
 
Central Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin Gaikwad
Central Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin GaikwadCentral Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin Gaikwad
Central Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin GaikwadSachin Gaikwad
 
Patent ductus arteriosus 2014
Patent ductus arteriosus 2014Patent ductus arteriosus 2014
Patent ductus arteriosus 2014Nav Kov
 

Ähnlich wie Normal Pressure Hydrocephalus (20)

CSF circulation disorders
CSF circulation disordersCSF circulation disorders
CSF circulation disorders
 
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
NurseReview.Org - Nursing Management of the Adult Client with Neurologic Alte...
 
Cerebrovascular Disease
Cerebrovascular DiseaseCerebrovascular Disease
Cerebrovascular Disease
 
Death by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill KnightDeath by Neurological Criteria and Organ Donation: Bill Knight
Death by Neurological Criteria and Organ Donation: Bill Knight
 
Hydrocephalus
HydrocephalusHydrocephalus
Hydrocephalus
 
ICP-Head-injury.ppt
ICP-Head-injury.pptICP-Head-injury.ppt
ICP-Head-injury.ppt
 
ICP-Head-injury.ppt
ICP-Head-injury.pptICP-Head-injury.ppt
ICP-Head-injury.ppt
 
Asphyxia
AsphyxiaAsphyxia
Asphyxia
 
Renal lecture
Renal lecture Renal lecture
Renal lecture
 
Stroke
StrokeStroke
Stroke
 
Cerebrovascular accident
Cerebrovascular accidentCerebrovascular accident
Cerebrovascular accident
 
Birth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhageBirth trauma & Intracranial haemorhhage
Birth trauma & Intracranial haemorhhage
 
Syncope
Syncope  Syncope
Syncope
 
Syncope
Syncope  Syncope
Syncope
 
Anaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correctionAnaesthesia management of patient posted for scoliosis correction
Anaesthesia management of patient posted for scoliosis correction
 
Hie ppt
Hie pptHie ppt
Hie ppt
 
Hie ppt
Hie pptHie ppt
Hie ppt
 
Central Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin Gaikwad
Central Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin GaikwadCentral Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin Gaikwad
Central Neuroxial blockage ( Spinal and Epidural block ) By Dr Sachin Gaikwad
 
Cva
CvaCva
Cva
 
Patent ductus arteriosus 2014
Patent ductus arteriosus 2014Patent ductus arteriosus 2014
Patent ductus arteriosus 2014
 

Kürzlich hochgeladen

Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableDipal Arora
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsMedicoseAcademics
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryJyoti singh
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...gragneelam30
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Sheetaleventcompany
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...dishamehta3332
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...Namrata Singh
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan 087776558899
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...Sheetaleventcompany
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Availableperfect solution
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacyDrMohamed Assadawy
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...TanyaAhuja34
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Sheetaleventcompany
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Sheetaleventcompany
 
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Sheetaleventcompany
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Sheetaleventcompany
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesMedicoseAcademics
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Sheetaleventcompany
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Sheetaleventcompany
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Sheetaleventcompany
 

Kürzlich hochgeladen (20)

Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service AvailableCall Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
Call Girls Shahdol Just Call 8250077686 Top Class Call Girl Service Available
 
Circulatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanismsCirculatory Shock, types and stages, compensatory mechanisms
Circulatory Shock, types and stages, compensatory mechanisms
 
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room DeliveryCall 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
Call 8250092165 Patna Call Girls ₹4.5k Cash Payment With Room Delivery
 
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
💰Call Girl In Bangalore☎️63788-78445💰 Call Girl service in Bangalore☎️Bangalo...
 
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
Low Cost Call Girls Bangalore {9179660964} ❤️VVIP NISHA Call Girls in Bangalo...
 
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
Race Course Road } Book Call Girls in Bangalore | Whatsapp No 6378878445 VIP ...
 
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...Kolkata Call Girls Naktala  💯Call Us 🔝 8005736733 🔝 💃  Top Class Call Girl Se...
Kolkata Call Girls Naktala 💯Call Us 🔝 8005736733 🔝 💃 Top Class Call Girl Se...
 
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
Cara Menggugurkan Kandungan Dengan Cepat Selesai Dalam 24 Jam Secara Alami Bu...
 
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
💚Reliable Call Girls Chandigarh 💯Niamh 📲🔝8868886958🔝Call Girl In Chandigarh N...
 
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service AvailableCall Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
Call Girls Rishikesh Just Call 9667172968 Top Class Call Girl Service Available
 
tongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacytongue disease lecture Dr Assadawy legacy
tongue disease lecture Dr Assadawy legacy
 
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
(RIYA)🎄Airhostess Call Girl Jaipur Call Now 8445551418 Premium Collection Of ...
 
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
Premium Call Girls Nagpur {9xx000xx09} ❤️VVIP POOJA Call Girls in Nagpur Maha...
 
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
Call Girl In Chandigarh 📞9809698092📞 Just📲 Call Inaaya Chandigarh Call Girls ...
 
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
Exclusive Call Girls Bangalore {7304373326} ❤️VVIP POOJA Call Girls in Bangal...
 
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
Premium Call Girls Dehradun {8854095900} ❤️VVIP ANJU Call Girls in Dehradun U...
 
Difference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac MusclesDifference Between Skeletal Smooth and Cardiac Muscles
Difference Between Skeletal Smooth and Cardiac Muscles
 
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
Gorgeous Call Girls Dehradun {8854095900} ❤️VVIP ROCKY Call Girls in Dehradun...
 
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
Chandigarh Call Girls Service ❤️🍑 9809698092 👄🫦Independent Escort Service Cha...
 
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
Cheap Rate Call Girls Bangalore {9179660964} ❤️VVIP BEBO Call Girls in Bangal...
 

Normal Pressure Hydrocephalus