Publikation

[Idiopathic normal pressure hydrocephalus]

Wissenschaftlicher Artikel/Review - 12.08.2009

Bereiche
PubMed
DOI

Zitation
Gautschi O, Cadosch D, Stienen M, Hildebrandt G, Fournier J. [Idiopathic normal pressure hydrocephalus]. Praxis (Bern 1994) 2009; 98:893-902.
Art
Wissenschaftlicher Artikel/Review (Deutsch)
Zeitschrift
Praxis (Bern 1994) 2009; 98
Veröffentlichungsdatum
12.08.2009
ISSN (Druck)
1661-8157
Seiten
893-902
Kurzbeschreibung/Zielsetzung

Normal pressure hydrocephalus (NPH) is characterized by the classic triad of symptoms including gait disturbance, urinary incontinence, and dementia. Gait impairment represents the cardinal symptom. NPH is associated with a radiological verifiable ventriculomegaly in the absence of elevated cerebrospinal fluid (CSF) pressure. Because many patients do not present with classical clinical and radiological findings, its diagnosis and management represents a challenge for the general practitioner, neurologist and neurosurgeon. Various supplemental preoperative tests, including lumbar CSF tap test or CSF outflow resistance determination, can improve the accuracy of predicting a response to surgical intervention. CSF shunt results in significant symptoms in the majority of appropriately evaluated patients. The following article discusses clinical aspects, diagnosis and current therapeutic options.