A simplified pressure adjustment clinical pathway for programmable valves in NPH patients

Normal pressure hydrocephalus (NPH) occurs insidiously in the later decades of life and presents as a progressive clinical triad of gait disturbance, urinary incontinence, and dementia [1]. Hakim and Adams first proposed CSF diversion as a surgical treatment method for NPH in 1965 [2]. Since then, shunt placement is considered the recommended modality for NPH treatment. As the clinical presentation is variable, the diagnosis of NPH is often not binary and requires thoughtful synthesis of the patient ’s history, physical examination, and radiographic imaging [3].

Source: Clinical Neurology and Neurosurgery - May 30, 2017 Category: Neurosurgery Authors: Tracy S. Ma, Nikhil Sharma, M. Sean Grady Source Type: research