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Doctor insights on: Alternative Treatments For Normal Pressure Hydrocephalus

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Has any medication been proven more effective as treatment for normal pressure hydrocephalus?

Has any medication been proven more effective as treatment for normal pressure hydrocephalus?

NPH Drug Treatment: No definitive evidence exists that medication can successfully treat nph. Parkinson drugs have been reported to be of benefit in anecdotal reports, these patients with nph may represent misdiagnosed cases of parkinsonism. In patients who are poor candidates for shunt surgery, repeated lumbar punctures in combination with diuretics may be considered. ...Read more

Dr. Soren Singel
47 Doctors shared insights

Normal Pressure Hydrocephalus (Definition)

Normal pressure hydrocephalus (nph) affects nearly 500, 000 people in the U.S. As its name implies, the pressure the brain "feels" is normal. Ct scans or MRI scans show dilation of the cerebral ventricles. The classic symptoms are memory problems, trouble with walking, and urinary incontinence and frequency. This typically affects patients> 55years in age. It is very treatable ...Read more


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Normal pressure hydrocephalus: are there many symptoms?

NPH: Though the classic triad includes cognitive deficits, urinary incontinence, and gait problems, many patients do not present with all 3. Because other conditions can cause similar problems, most neurosurgeons perform additional testing prior to offering ventriculoperitoneal shunting, which is the conventional treatment of choice. ...Read more

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What is the definition or description of: normal pressure hydrocephalus?

What is the definition or description of: normal pressure hydrocephalus?

NPH: Normal pressure hydrocephalus (nph) affects nearly 500, 000 people in the U.S. As its name implies, the pressure the brain "feels" is normal. Ct scans or MRI scans show dilation of the cerebral ventricles. The classic symptoms are memory problems, trouble with walking, and urinary incontinence and frequency. This typically affects patients> 55years in age. It is very treatable with a vp shunt. ...Read more

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Will very bad dementia from normal pressure hydrocephalus improve with a shunt in 68 year old?

Will very bad dementia from normal pressure hydrocephalus improve with a shunt in 68 year old?

NPH: It really depends on how long the hydrocephalus was causing symptoms and whether there are any other medical issues that may be contributing. Dementia and other symptoms from nph is due to pressure on the brain structures from the increased fluid in the ventricles. If the hydrocephalus is treated soon enough, cognitive symptoms from the "squished" tissue may resolve partly or entirely. ...Read more

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I have normal pressure hydrocephalus, had surgery back in November of 2015 I do not have a shunt I wanted to know if it was safe for me to fly?

Confirm therapy: How was the diagnosis of NPH confirmed, particularly if no shunt was put in place? It would be best to understand the workup and treatment; while there haven't been specific recommendations made about normal pressure hydrocephalus and flying (commercial airlines use a peak altitude pressurized to 8000 feet) need more details; discussion with your neurosurgeon/neurologist would be important. ...Read more

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Is a prominent cistern magma dangerous in any way? Is it related to a normal pressure hydrocephalus

Not usually related: The cisterna magna is a spinal fluid space in the back of the brain which lies just posterior to the cerebellum. The space may be enlarged for a few reasons, both normal and pathologic (abnormal). You should have a MRI to evaluate further (if only CT done) and see Neurosurgeon or Neurologist for their opinion. Do you have any symptoms? Remember headaches can be from stress. Good luck. ...Read more

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What symptoms would an adult with hydrocephalus have? Not talking about normal pressure hydrocephalus.

What symptoms would an adult with hydrocephalus have? Not talking about normal pressure hydrocephalus.

Headache: Blurred or double vision, sunsetting of the eyes, problems with balance, poor coordination, gait disturbance, urinary incontinence, slowing or loss of skills, lethargy, drowsiness, irritability, or other changes in personality or cognition including memory loss. ...Read more

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Normal pressure hydrocephalus with high blood pressure and type 2 diabetic what sort of diet would help?

Normal pressure hydrocephalus with high blood pressure and type 2 diabetic what sort of diet would help?

Book recommendation: You might find a book called "the blood sugar solution" by mark hyman, md helpful. He looks at the situation holistically and offers practical advice. The very best to you. ...Read more

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What causes normal pressure hydrocephalus?

Normal Pressure hydr: The source of what causes nph has not been really determined. It is a disorder that occurs more in the elderly population and is a situation where the patient has normal pressures within the brain yet has clinical symptoms of hydrocephalus or excessive water/pressure on the brain. ...Read more

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I fell down some stairs and now have venticular dilation, etiology includes hydrocephalus or normal pressure hydrocephalus. I am dizzy unstable have memory loss and incontinant how long will this last. I also have ongoing headaches, how long will these

I fell down some stairs and now have venticular dilation, etiology includes hydrocephalus or normal pressure hydrocephalus. I am dizzy unstable have memory loss and incontinant how long will this last. I also have ongoing headaches, how long will these

Possibly: Normal pressure hydrocephalus (nph) is usually not associated with headaches although it is associated with the gait, memory, and bladder problems. You may also have post-traumatic hydrocephalus from your fall. This should be worked up further by a neurologist/neurosurgeon. Further scans with an MRI can determine if there is a blockage or obstruction leading to the hydrocephalus. ...Read more

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Safe for someone who has shunt for normal pressure hydrocephalus to get brain MRI for suspected pituitary adenoma? If no, is cat scan used instead?

Safe for someone who has shunt for normal pressure hydrocephalus to get brain MRI for suspected pituitary adenoma? If no, is cat scan used instead?

Check with neurosurg: Check with the neurosurgeon as to the type of shunt in place. With normal pressure hydrocephalus, it is very common that the shunt is a programmable shunt that allows the neurosurgeon to change the amount of drainage with a special magnet. There are some that are MRI resistant and some that aren't (these need reprogramming soon after mri). If it is non-programmable, you don't need to adjust it. ...Read more

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Or also pressure hydrocephalus, diabetic, obese age 65 life expectancy. Normal pressure?

What kind: I am unfamiliar with also pressure hydrocephalus- did you spell the type correctly? For most causes of hydrocephalus, the type determines the treatment and forecast. The diabetes-how long, level of control, other vascular issues, and meds also figure in to the forecast you are seeking. Too complicated for this format. ...Read more

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I have 6 month baby whoes suffering from hydrocephalus. After shunt treatment there is shunt infection occured now my baby can spend a normal life?

I have 6 month baby whoes suffering from hydrocephalus. After shunt treatment there is shunt infection occured now my baby can spend a normal life?

Yes: Children with hydrocephalus can have a normal life. Some have brain issues because of the hydrocephalus. Shunt placement has at least a 10% incidence of shunt infection. Proper treatment usually results in resolution of the infection and shunt may need to be changed. ...Read more

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What is the normal treatment for hydrocephalus?

What is the normal treatment for hydrocephalus?

Shunting.: Ventriculoperitoneal shunts can be placed to drain the fluid build-up inside the head and relieve the pressure on the sensitive brain tissue. They are the standard of care for significant internal hydrocephalus. Seek neurosurgical care for additional details. ...Read more

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Can any docs elaborate about the treatment and prevention of hydrocephalus?

Can any docs elaborate about the treatment and prevention of hydrocephalus?

Read this monograph: I have discussed this question in detail on my own blog. Go to http://surgeonwriter. Com/hydrolog/ and download the free monograph HYDROCEPHALUS: An Owner's Manual. It's free. This is written for the lay person. It's brief, interesting, and informative. It's not encyclopedic, but it will answer most of your questions. Enough anyway, so you will know what to ask your doc. Good luck. ...Read more

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Hi, Karl-Emil has Hydrocephalus. We have MRI images. We would like a second opinion on prognosis and treatment (wait and see) or shunt. Who to contact?

A good option is: To contact the International Center Boston Children's Hospital at 1-617-355-5209 or international. Center@childrens. Harvard. Edu to arrange sending medical records & copies of MRI's electronically to Dr. Benjamin Warf, pediatric neurosurgeon. Dr. Warf has provided excellent care for a family member of mine with hydrocephalus; his colleagues are also great. Call someone soon to avoid an emergency. ...Read more

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Help docs, has hydrocephalus treatment advanced any further than it was 10 years ago?

Hydrocephalus: I cannot really say there has been any significant advancement in the last 10 years. A huge difference from fifty years ago but the techniques we use now are pretty much the same as what was used 10 years ago. ...Read more

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Is there a non-surgical treatment for hydrocephalus?

Not really: Although there are medications that decrease spinal fluid production, they do not do enough to treat true hydrocephalus. There are many surgical options, such as a shunt or a third ventriculostomy, but surgery is required for active hydrocephalus. ...Read more

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Can people w/o hydrocephalus have CSF pressure increase or headaches caused by intracranial pressure?

Can people w/o hydrocephalus have CSF pressure increase or headaches caused by intracranial pressure?

Yes: The condition is called "pseudotumor cerebri" or "benign intracranial hypertension". It occurs most commonly in females between 20 and 40, especially in the overweight or obese.

The definitive test is a spinal tap with direct measurement of the fluid pressure. ...Read more

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Is 108 considered low blood pressure? I have hydrocephalus?

Is 108 considered low blood pressure? I have hydrocephalus?

Normal BP.: Relax, systolic blood pressure of 108 mmhg is normal - regardless of your medical history. ...Read more

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Hydrocephalus - treatment options, what to do?

Hydrocephalus - treatment options, what to do?

Read my monograph: I have discussed this question in detail on my own blog. Go to http://surgeonwriter. Com/hydrolog/ and download the free monograph HYDROCEPHALUS: An Owner's Manual. It's free. This is written for the lay person. It's brief, interesting, and informative. It's not encyclopedic, but it will answer most of your questions. Enough anyway, so you will know what to ask your doc. Good luck. ...Read more

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Is surgery the best treatment for hydrocephalus?

Yes: If you truly have hydrocephalus then surgery is the best therapy currently available. The only type of hydrocephalus that is controversial is normal pressure hydrocephalus (nph). The outcomes of surgery for nph are less consistent than for other types of hydrocephalus. ...Read more

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What is extraventricular obstructive hydrocephalus and what is its treatment?

What is extraventricular obstructive hydrocephalus and what is its treatment?

Slow absorption: Cerebral spinal fluid is produced inside the ventricles, cycles through the ventricular system, and then passes out side the ventricles to be absorbed. Obstruction within the ventricles produces internal hydrocephalus. A defect in absorption outside the ventricles will also produce hydrocephalus which is external. This type is often referred to as external or communicating hydrocephalus. ...Read more

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I have a VP shunt for hydrocephalus and I have high pressure in my brain they say the shunt is possibly working so why is the high pressure there?

I have a VP shunt for hydrocephalus and I have high pressure in my brain they say the shunt is possibly working so why is the high pressure there?

VP shunt: Most VP shunts today have the ability to control flow using an external device that regulates the flow in the shunt. I would speak to the surgeon and the manufacturer of the shunt. As long as you do not have symptoms like severe headaches, nausea then you should be good. ...Read more

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My 3 week old son has had a bleed on the brain and developed hydrocephalus as a result. What other treatment, besides a shunt, can be done?

My 3 week old son has had a bleed on the brain and developed hydrocephalus as a result. What other treatment, besides a shunt, can be done?

Depends on variables: The bleed can impair the absorption of spinal fluid from the brain surface where it goes after circulating in the brain and spinal cord. It is made continuously and when the surfaces or plumbing is blocked, pressure builds and can damage the brain. Pediatric neurosurgeons can sometimes open a blocked area or redirect flow without a shunt but the needs of each case determines the treatment. ...Read more

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Treatment for Hydrocephalus with posterior fossa cyst & VP Shunt insertion with pyogenic meaningitis?

Treatment for Hydrocephalus with posterior fossa cyst & VP Shunt insertion with pyogenic meaningitis?

Pyogenic: Infection in the face of a VP shunt will inevitably require that the shunt be removed, the infection treated with antibiotics and then the shunt replaced. ...Read more

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Is an external hydrocephalus consequence of brain atrophy? Does external hydrocephalus make intracranial pressure?

Is an external hydrocephalus consequence of brain atrophy? Does external hydrocephalus make intracranial pressure?

Hydrocephalus: Hydrocephalus is a disorder where there is an increase in cerebral spinal fluid and subsequent dilatation of the internal spaces of the brain. It can be caused by obstruction of the circulation of the fluid or decreased absorption. Intracrania pressure is increased. However with brain atrophy due to loss of tissue these spaces appear dilated but the pressure is normal. There is no fluid increase. ...Read more

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My mother's MRI reveals that she has diffuse cerebral atrophy with mild hydrocephalus. Is there any treatment and medication to cure it?

My mother's MRI reveals that she has diffuse cerebral atrophy with mild hydrocephalus. Is there any treatment and medication to cure it?

Further work up.: Cerebral atrophy occurs as part of the normal aging process and there is no treatment for this MRI finding. As part of aging, the ventricles may enlarge. However, hydrocephalus is not a normal radiographic finding. A consultation with a neurologist to determine if your mother has any symptoms of normal pressure hydrocephalus would be a reasonable next step. ...Read more

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Is it normal that pilonidal cyst sinus is closing by itself after alternative treatments as epsom salt baths, castor oil packs and garlic supplements?

Is it normal that pilonidal cyst sinus is closing by itself after alternative treatments as epsom salt baths, castor oil packs and garlic supplements?

Cyst: Yes that often occurs however it is possible for the cyst to reoccur and re open try and keep it clean and well hydrated ...Read more

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What alternative treatments can I get to cure my sinusitis?

What alternative treatments can I get to cure my sinusitis?

Netti Pot: Nasal saline washes using a Netti pot is a drug free way to clear up those sinus passages. Follow the instructions carefully and you should experience relief after 1-2 uses. ...Read more

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Are there any alternative treatments to alleviate the symptoms of lou gehrig's disease?

Are there any alternative treatments to alleviate the symptoms of lou gehrig's disease?

No, none!: Would be nice to find such approaches in this devastating condition, but does NOT exist. Even our approved medication, Riluzole does very little. ...Read more

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What are alternative treatments for sick sinus syndrome?

What are alternative treatments for sick sinus syndrome?

None: There are no dependable alternative treatmens to my knowledge for sick sinus syndrome. However, everyone can benefit from good organic whole food vitamin/mineral supplementation, acid free; toxin free diet; check out my website for details: www. Medacpc. Com. ...Read more

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Alternative treatments for atypical depression?

Alternative treatments for atypical depression?

Alternative depressi: Traditional chinese medicine, indian remedies (ayurvedic med.), yoga, meditation, diet, exercise, etc. ...Read more

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What are some alternative treatments for melanoma?

What are some alternative treatments for melanoma?

Adjuncts only: If you ignore surgery for melanoma, you will pay for your mistake with your life. If you are interested in vitamins, botanicals and so forth, remember these are only adjuncts. I am not sure I would accept some of therapies for advanced disease that give only a small survival advantage, but I would not pay a conspiracy or natural-medicine talker for telling me untruths. Be savvy. ...Read more

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Are there any alternative treatments for athlete's foot?

Are there any alternative treatments for athlete's foot?

Soap and water: Many times washing and drying your feet well and daily can clear up a mild case of athlete's foot. Over the counter topical antifungals are usually quite successful if used consistently. Dr l. ...Read more

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Are there alternative treatments for pseudotumor cerebri?

Are there alternative treatments for pseudotumor cerebri?

No: Pseudotumor cerebri can occasionally result in visual loss and blindness in addition to severe headaches. Pseudotumor needs to be carefully followed by an eye doctor and sometimes a neurologist as well. 90% of people with pseudotumor are obese females and weight loss, sometimes modest amounts, can be a highly effective treatment. ...Read more

Dr. James Goodrich
708 Doctors shared insights

Hydrocephalus (Definition)

A condition in which there is an abnormal accumulation of cerebrospinal fluid or "brain fluid" within the brain which causes increased pressure inside the skull. It can ...Read more