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"This is an excellent book that can be used as a starting point to gain a basic understanding regarding the assessment and management of the adult iNPH patient and would be recommended reading for anyone with an interest in this important topic." -- Neurosurgery-online.com Often misunderstood and misdiagnosed, normal pressure hydrocephalus (NPH) is a disease of the elderly that is on the rise as the population ages. Its similarities to Parkinson’s disease, dementia and other chronic neurodegenerative conditions make diagnosis challenging, requiring clinicians to be alert to the signs and symptoms that differentiate it. Here is the first comprehensive book on the topic, written by experts who have researched and taught courses on NPH for years. From clinical characteristics and pathophysiology to signs and symptoms, radiographic findings, diagnostic tests and state-of-the-art treatment techniques, it covers everything practitioners need to know about this multi-faceted condition. Special Features: Describes the classic symptom triad of gait disturbance, urinary incontinence and dementia Covers the full sequence of the diagnostic work-up, including imaging studies, non-invasive tests, and invasive procedures such as lumbar infusion and cerebrospinal tap tests Explains the risks and benefits of surgical implantation of a ventricular-peritoneal (VP) shunt to relieve symptoms and restore function, including key criteria for evaluating “shunt responsiveness” Provides the first step-by-step account of operative shunt placement by Dr. Michael Fritsch, who has performed the procedure extensively at leading neurosurgical centers throughout the world Including troubleshooting techniques following shunt surgery, long-term management of patients, prognosis for the condition and future initiatives, this all-inclusive reference makes a major contribution to the field. It is essential for neurosurgeons, neurologists, internists, residents, and other physicians who treat diseases of the elderly in everyday practice.

NPH - Normal Pressure Hydrocephalus: Pathophysiology - Diagnosis - Treatment: Differential Diagnosis and Treatment PDF ePub

NPH - Normal Pressure Hydrocephalus: Pathophysiology ~ Often misunderstood and misdiagnosed, normal pressure hydrocephalus (NPH) is a disease of the elderly that is on the rise as the population ages. Its similarities to Parkinsons disease, dementia and other chronic neurodegenerative conditions make diagnosis challenging, requiring clinicians to be alert to the signs and symptoms that differentiate it.

Normal Pressure Hydrocephalus (NPH) - Cleveland Clinic ~ Normal pressure hydrocephalus (NPH) is a condition that is caused by an abnormal build up of cerebrospinal fluid (CSF) in the ventricles (cavities or spaces) of the brain. Cerebrospinal fluid is a clear liquid that circulates around the brain and spinal cord, cushioning and protecting them from damage. When people have NPH, they have an excess of cerebrospinal fluid because their bodies cannot .

About Normal Pressure Hydrocephalus (NPH) ~ mation about the diagnosis and treatment of adult-onset normal pressure hydrocephalus (NPH). It is a companion piece to our booklet . About Hydrocephalus—A Book for Families, the most widely distributed resource on infant and childhood hydrocephalus in the United States. It is our belief that individuals and families dealing with the complex issue of adult-onset NPH must educate themselves .

Idiopathic Normal Pressure Hydrocephalus: An Overview of ~ Normal pressure hydrocephalus is characterised by the triad of gait disturbance, dementia and urinary incontinence. Although our understanding of the condition has considerably improved since it was initially described over 50 years ago, its pathophysiology is still a matter of debate. We provide an overview of the current concepts in pathophysiology and discuss the clinical features .

NPH - Normal Pressure Hydrocephalus: Differential ~ NPH - Normal Pressure Hydrocephalus: Differential Diagnosis and Treatment: : Fritsch, Michael J., Meier, Ullrich, Kehler, Uwe: Libros en idiomas extranjeros

The neuropsychology of normal pressure hydrocephalus (NPH) ~ Normal pressure hydrocephalus (NPH) accounts for one of the few known forms of reversible dementia. Varied aetiology and clinical presentation contribute to difficulties with early or differential .

Guidelines for management of idiopathic normal pressure ~ The revision of the Guidelines has been undertaken by a multidisciplinary expert working group of the Japanese Society of Normal Pressure Hydrocephalus in conjunction with the Japanese Ministry of Health, Labour and Welfare research project on "Studies on the epidemiology, pathophysiology, and treatment of normal pressure hydrocephalus." This English version of the second edition of the .

Adult-onset Hydrocephalus – Symptoms, Diagnosis and Treatments ~ Normal Pressure Hydrocephalus results from the gradual blockage of the CSF-draining pathways in the brain. The ventricles enlarge to handle the increased volume of CSF, thus compressing the brain from within and eventually damaging or destroying the brain tissue. NPH owes its name to the fact that the ventricles inside the brain become enlarged with little or no increase in pressure. However .

Normal Pressure Hydrocephalus and Parkinsonism ~ Idiopathic normal pressure hydrocephalus (iNPH) is a potentially treatable neurologic disorder of the elderly. It comprises disturbances of gait and balance, urinary control, and cognition (the so-called classic triad of symptoms of the disease) in combination with enlargement of the cerebral ventricles. 2 Gait and balance disturbances are the most common clinical findings and may occur alone .

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Normal Pressure Hydrocephalus - an overview ~ Normal pressure hydrocephalus (NPH) was first described in 1965 and generated substantial enthusiasm because it was thought to represent a dementia syndrome that could be treated successfully with shunting procedures. The clinical features of NPH include dementia, gait disorder, and incontinence, reflecting primary involvement of the subfrontal white matter. The disorder sometimes follows TBI .

Treatment / Hydrocephalus Association ~ The most common, and typically the only available treatment for normal pressure hydrocephalus (NPH) is the surgical implantation of a shunt. In the past five to ten years new diagnostic techniques, better shunt design and recognition of prognostic factors have improved patient selection and outcomes for NPH treatment.

Hydrocephalus - Diagnosis and treatment - Mayo Clinic ~ Diagnosis. A diagnosis of hydrocephalus is usually based on: . Treatment. One of two surgical treatments may be used to treat hydrocephalus. Shunt. Shunt system Open pop-up dialog box. Close . Shunt system. Shunt system. A shunt drains excess cerebrospinal fluid from the brain to another part of the body, such as the abdomen, where it can be more easily absorbed. The most common treatment .

Normal Pressure Hydrocephalus (NPH) / Symptoms ~ To confirm a diagnosis of normal pressure hydrocephalus, one or more of the following tests are done: . Treatment. Normal pressure hydrocephalus is one of the few causes of dementia that can be controlled or reversed with treatment. If symptoms and results from an evaluation and MRI point to normal pressure hydrocephalus, a high-volume spinal tap may be used to identify if an individual has .

Hydrocephalus – Causes, Symptom and Surgical Treatments ~ The prognosis for hydrocephalus depends on the cause, the extent of symptoms and the timeliness of diagnosis and treatment. Some patients show a dramatic improvement with treatment, while others do not. In some instances of normal pressure hydrocephalus, dementia can be reversed by shunt placement. Other symptoms, such as headaches, may disappear almost immediately if the symptoms are related .

Normal Pressure Hydrocephalus / IntechOpen ~ Normal pressure hydrocephalus (NPH) is characterized by dilated ventricles and a combination of gait impairment, cognition impairment, and loss of urinary control (urgency and incontinence). The only effective treatment for NPH is a CSF shunt; however, only a small percentage of patients ever receive it. The features of gait impairment in patients with NPH are difficult to distinguish from .

Normal Pressure Hydrocephalus / Johns Hopkins Medicine ~ How is normal pressure hydrocephalus treated? A commonly used treatment for NPH is surgery to place a tube, called a shunt, into the brain to drain the excess fluid. The shunt is usually inserted into a ventricle in the brain and then passed under your skin from your head through your neck and chest to your abdomen. The extra fluid in your .

Hydrocephalus - Symptoms and causes - Mayo Clinic ~ Hydrocephalus can happen at any age, but it occurs more frequently among infants and adults 60 and over. Surgical treatment for hydrocephalus can restore and maintain normal cerebrospinal fluid levels in the brain. Many different therapies are often required to manage symptoms or functional impairments resulting from hydrocephalus.

Normal Pressure Hydrocephalus Information Page / National ~ Normal pressure hydrocephalus (NPH) is an abnormal buildup of cerebrospinal fluid (CSF) in the brain's ventricles, or cavities. It occurs if the normal flow of CSF throughout the brain and spinal cord is blocked in some way. This causes the ventricles to enlarge, putting pressure on the brain. Normal pressure hydrocephalus can occur in people of any age, but it is most common in the elderly .

Normal pressure hydrocephalus / Radiology Reference ~ Normal-pressure hydrocephalus remains a controversial entity with often ambiguous imaging findings. It is classically characterized by the triad of gait apraxia/ataxia, urinary incontinence, and dementia, although not all patients with the condition have all three 31.. On imaging, it can be characterized both on CT and MRI by enlarged lateral and third ventricles out of proportion to the .