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Normal pressure hydrocephalus: an update.

Carlos Eduardo Borges Passos-Neto1, Cesar Castello Branco Lopes1, Mauricio Silva Teixeira1

  • 1Universidade de São Paulo, Faculdade de Medicina, Hospital das Clínicas, Departamento de Neurologia, Grupo de Neurologia Cognitiva e do Comportamento, São Paulo - SP, Brazil.

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Summary
This summary is machine-generated.

Normal pressure hydrocephalus (NPH) is a debated condition in the elderly, causing gait, urinary, and cognitive issues. Careful diagnosis and the tap test aid in selecting patients for potentially reversible shunt treatment.

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Area of Science:

  • Neurology
  • Neurosurgery
  • Geriatrics

Background:

  • Normal pressure hydrocephalus (NPH) is a clinical-radiological syndrome.
  • It disproportionately affects the elderly population.
  • NPH presents with a triad of gait disturbance, urinary urge incontinence, and cognitive decline.

Purpose of the Study:

  • To provide a didactic review of recent literature on NPH.
  • To aid in the clinical diagnosis and management of NPH.
  • To improve patient selection for ventricular shunt treatment.

Main Methods:

  • This study is a narrative review of recent scientific literature.
  • It compiles data relevant to clinical practice.
  • Focuses on diagnostic criteria and therapeutic response predictors.

Main Results:

  • NPH diagnosis requires careful clinical and radiological correlation.
  • The tap test is a valuable predictor of shunt treatment response.
  • A negative tap test does not preclude potential treatment benefits.

Conclusions:

  • Accurate diagnosis is crucial for effective NPH management.
  • Symptoms of NPH are potentially reversible with timely intervention.
  • Continued research is vital for a comprehensive understanding of NPH.