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We hypothesize that PXA may have sparked an abnormal CSF circulation pattern and ventriculomegaly. The pathophysiology behind NPH and IIH is still not fully understood, yet their management is mostly dependent on CSF diversion. The concomitant development of two different CSF dynamic diseases with a PXA has not been reported in the literature. We hypothesize that PXA may have sparked an abnormal CSF circulation pattern and ventriculomegaly. A collapsed nonhealed vertebral fracture with endplate destruction is a challenging injury to address, as ther