Find Your Chapter. Take the Brain Tour. Learn More. Types of Dementia. Normal Pressure Hydrocephalus. Share or Print this page. In a Mayo Clinic study, among 41 older adults with suspected normal pressure hydrocephalus, all had difficulty walking, 30 experienced cognitive decline, and 14 reported loss of bladder control.
Only 12 of the 41 had all three symptoms. To confirm a diagnosis of normal pressure hydrocephalus, one or more of the following tests are done:. Few studies have explored the benefits of shunt insertion.
Most of these studies were small and followed participants for a limited time. The SINPHONI-2 trial results, published in the June issue of Lancet , found that people with normal pressure hydrocephalus might benefit from lumboperitoneal shunt surgery but further studies need to be done to confirm the findings.
Available data suggests that difficulty walking is the symptom most likely to improve. Also, many times people require more than one surgery to maintain improvement. Your doctor will weigh the risks and benefits of the procedure to determine the best course of action. Your outlook will vary according to your age, previous health problems, and surgery. A healthy person who receives an early diagnosis has the best outlook. More than 70 percent of people who undergo modern treatment like ventriculoperitoneal shunting have clinical improvement.
Doctors surgically place VP shunts inside one of the brain's ventricles to divert fluid away from the brain and restore normal flow and absorption of…. Hydrocephalus is a condition that occurs when fluid builds up in the skull and causes the brain to swell. Symptoms may be mild to severe. With treatment and monitoring, the condition can be managed. The vagus nerve is the longest of the 12 cranial nerves. Here, learn about its anatomy, functions, and the kinds of health problems that can occur.
Muscle twitching refers to small muscle contractions in the body. Learn more about the causes and treatment here. Parosmia is term used to describe health conditions that distort your sense of smell.
If you have parosmia, you may experience a loss of scent…. Abnormal posturing refers to rigid body movements and chronic abnormal positions of the body.
Learn more here. Health Conditions Discover Plan Connect. Normal Pressure Hydrocephalus. Risk Factors for NPH. Causes of NPH. Symptoms of NPH. If you have NPH, the provider will likely find that your walking gait is not normal. You may also have memory problems. Treatment for NPH is usually surgery to place a tube called a shunt that routes the excess CSF out of the brain ventricles and into the abdomen.
This is called a ventriculoperitoneal shunt. Surgery improves symptoms in some people. Those with mild symptoms have the best outcome. Walking is the symptom most likely to improve. Go to the emergency room or call or the local emergency number if a sudden change in mental status occurs.
This may mean that another disorder has developed. Hydrocephalus - occult; Hydrocephalus - idiopathic; Hydrocephalus - adult; Hydrocephalus - communicating; Dementia - hydrocephalus; NPH. Rosenberg GA. Brain edema and disorders of cerebrospinal fluid circulation. Bradley's Neurology in Clinical Practice. Philadelphia, PA: Elsevier; chap The role of third ventriculostomy in adults and children : a critical review. In: Winn HR, ed. Youmans and Winn Neurological Surgery.
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