Publication

[Idiopathic normal pressure hydrocephalus]

Journal Paper/Review - Aug 12, 2009

Units
PubMed
Doi

Citation
Gautschi O, Cadosch D, Stienen M, Hildebrandt G, Fournier J. [Idiopathic normal pressure hydrocephalus]. Praxis (Bern 1994) 2009; 98:893-902.
Type
Journal Paper/Review (Deutsch)
Journal
Praxis (Bern 1994) 2009; 98
Publication Date
Aug 12, 2009
Issn Print
1661-8157
Pages
893-902
Brief description/objective

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.