NPH affects more than 1 in 200 adults over the age of 65 – most of them are undiagnosed. This means thousands of people, who have much to live for, may be unnecessarily losing their independence, time with loved ones and admitted to long term care facilities prematurely. If you suspect someone you know may have NPH, be sure to ask about it specifically and insist the proper diagnostic testing be done.
It is a condition where cerebrospinal fluid (CSF) – a clear fluid that acts as a protective cushion for our brain and spinal cord – accumulates to
an abnormal level within the brain, causing the symptoms of NPH. NPH affects more than 1 in 200 adults over the age of 65 – most of them are undiagnosed. This means thousands of people, who have much to live for, may be unnecessarily losing their independence, time with loved ones and admitted to long term care facilities prematurely. If you suspect someone you know may have NPH, be sure to ask about it specifically and insist that proper diagnostic testing be done.
In most cases if NPH is suspected, your family doctor will refer you to a neurologist. The neurologist may do an exam that includes evaluation of how you walk, process information, speak and inquire about your bladder function. They may also order an MRI, CT scan or a lumbar puncture.
The symptoms of NPH are similar to Alzheimer’s and Parkinson’s diseases, however, the combination of dementia-like symptoms, altered walking (shuffling feet, short steps, a feeling like one’s feet are stuck to the floor) and urinary incontinence should alert your health care provider to consider NPH. If Normal Pressure Hydrocephalus is determined to be likely, then a referral to a neurosurgeon is the next step to discuss treatment options.
The most common treatment for NPH is the surgical placement of a shunt, a device that drains excess cerebral spinal fluid (CSF) from the brain to another part of the body. A shunt is a flexible piece of tubing that is attached to a valve that controls the flow of CSF.
Endoscopic third ventriculostomy (ETV) surgery is an alternative for some individuals to shunting. An ETV involves making an opening in the floor of the third ventricle at the base of the brain. The CSF can flow around the brain through the new pathway. An ETV can also fail or become blocked. Not everyone with hydrocephalus is a candidate for ETV surgery. A neurosurgeon will make the determination of the best course of treatment on a case-by-case basis.
The symptoms of NPH are similar to Alzheimer’s and Parkinson’s diseases, however, the combination of dementia-like symptoms, altered walking (shuffling feet, short steps, a feeling like one’s feet are stuck to the floor) and urinary incontinence should alert your health care provider to consider NPH. If Normal Pressure Hydrocephalus is determined to be likely, then a referral to a neurosurgeon is the next step to discuss treatment options.