Patient presents with signs and symptoms suggestive of obstructive hydrocephalus.  Clinical presentation includes complaints of headache, nausea, vomiting, blurred vision, and gait disturbances.  Cognitive changes, including confusion and memory impairment, may also be present.  On examination, papilledema may be observed.  The patient's history may include relevant factors such as congenital abnormalities, prior intracranial hemorrhage, infection, or tumor.  Neuroimaging, specifically a head CT scan or MRI brain, demonstrates ventricular dilation disproportionate to sulcal atrophy, consistent with a diagnosis of obstructive hydrocephalus.  Differential diagnosis includes communicating hydrocephalus, normal pressure hydrocephalus, and pseudotumor cerebri.  Etiology of the obstruction is being investigated.  Treatment options including cerebrospinal fluid shunting, endoscopic third ventriculostomy, and management of underlying causes are being considered.  Patient's condition warrants close monitoring for neurological deterioration.  Prognosis depends on the underlying cause, the severity of the obstruction, and the timeliness of intervention.  ICD-10 code G91.1, Obstructive hydrocephalus, is documented for billing and coding purposes.  Further evaluation and management will be documented as clinically indicated.