Normal pressure hydrocephalus (NPH)

Alternative names:

hydrocephalus - adult; hydrocephalus - communicating; hydrocephalus - idiopathic

Treatment:

The goal of treatment is to improve symptoms. The surgical creation of a shunt that routes the CSF around the obstruction and back into the circulation is the treatment of choice.

Symptomatic treatment may vary depending on the symptoms presented and the extent that symptoms are relieved by treatment.

Expectations (prognosis):

Prognosis is poor without medical intervention; symptoms progress and the disorder results in death.

Surgical treatment improves symptoms in about 50% of cases, with the best prognosis (probable outcome) for those with minimal symptoms. Other persons may have varying degrees of disability prior to death.

Complications:

• injury from falls
• temporary or permanent loss of brain functions
• dementia
• shortened life span
• side effects of medications
• complications of surgery

Calling your health care provider:

Call your health care provider if symptoms indicate normal pressure hydrocephalus may be present.

Call your health care provider if the condition of a person with NPH deteriorates to the point where you are unable to care for the person in your home.

Go to the emergency room or call the local emergency number (such as 911) if a sudden change in mental status occurs (this may indicate development of another disorder).