Normal Pressure Hydrocephalus (NPH)
Special hydrocephalus type seen in elderly
Assoc. Prof. Dr. Özgür AKŞAN
Brain & Nerve Surgery
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What is this Condition?
Normal pressure hydrocephalus is a special type of hydrocephalus seen in advanced age, characterized by the classic triad (gait disturbance, dementia, urinary incontinence). It is a treatable cause of dementia.
Diagnosis Methods
Brain MRI shows enlarged ventricles and normal CSF pressure. Tap test (CSF drainage) symptom improvement supports diagnosis.
Treatment Methods
VP shunt placement is effective treatment. Shunt success rate is high in patients with positive tap test. Early diagnosis and treatment improve prognosis.
References
- Greenberg MS. Handbook of Neurosurgery. 10th ed. Thieme; 2023:431-445.
- Winn HR, ed. Youmans and Winn Neurological Surgery. 6th ed. Elsevier; 2011:499-508.
- Osborn AG, Hedlund GL, Salzman KL. Osborn's Brain: Imaging, Pathology, and Anatomy. 2nd ed. Elsevier; 2018:69-113.
- Connolly ES Jr, McKhann GM II, Huang J, Choudhri TF, Komotar RJ, Mocco J. Fundamentals of Operative Techniques in Neurosurgery. 2nd ed. Thieme; 2010:39-119.
- Citow JS, Macdonald RL, Puffer RC, et al, eds. Comprehensive Neurosurgery Board Review. 3rd ed. Thieme; 2020:516-619.
This content is for informational purposes and based on academic sources; consult your physician for diagnosis and treatment.
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Assoc. Prof. Dr. Özgür AKŞAN
Phone
+90 (232) 404 00 61
+90 (532) 414 35 35
[email protected]
Address
Ziya Gökalp Blv. No:28 D:1-2
35220 Konak/İzmir
Website
www.drozguraksan.com
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