This case was first reported in a thesis published in 4 and in the Journal of Neurological Sciences in 5. This theory was met with skepticism by the medical establishment of the time, particularly among his former colleagues in Boston. However, after an American official stationed in Colombia with a similar condition was flown to the US accompanied by Hakim, the neurosurgeon insisted on the procedure. The path was not without opposition, with perhaps the most vocal critic being Professor Merritt, from the Columbia University College of Physicians and Surgeons.
Ironically, Merritt eventually developed symptoms compatible with NPH and passed away due to complications following shunt placement surgery 3. Over the course of his life, Hakim delivered lectures in over 30 countries and received numerous honors and awards. He also became a professor in his own alma-mater, the Universidad Nacional de Colombia. Hakim was a prolific inventor and made seminal advancements in the creation of various valve models.
The most notable of these was developed in a unidirectional valve with spring-loaded pressure control, which set the standard for all future valves for treatment of the entity Hakim first described, a legacy continued by his son, Carlos Hakim 3. Brean A, Eide PK. Prevalence of probable idiopathic normal pressure hydrocephalus in a Norwegian population.
Acta Neurol Scand. Is normal pressure hydrocephalus a valid concept in ? J Neurol Neurosurg Psychiatry. Hakim S.
Hakim S, Adams RD. The special clinical problem of symptomatic hydrocephalus with normal cerebrospinal fluid pressure. Observations on cerebrospinal fluid hydrodynamics.
J Neurol Sci. Hakim C, Sussman M. Bethesda: Hydrocephalus Association; [cited May 14].
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