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Doctor insights on: Medicine For Normal Pressure Hydrocephalus

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What causes normal pressure hydrocephalus?

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

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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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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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

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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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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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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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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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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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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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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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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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What are the symptoms of hydrocephalus in a previously normal adult?

What are the symptoms of hydrocephalus in a previously normal adult?

Variable: Hydrocephalus in a previously normal adult can present with headaches, memory problems, imbalance or visual symptoms. Acute hydrocephalus can cause lethargy and coma if severe and untreated. ...Read more

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Is it normal for hydrocephalus to affect my short-term memory?

Hydrocephalus: If your hydrocephalus is becoming uncompromised and pressure is rising, it can effect your short term memory. Long term memory is more resistant to loss. You should consult your neurosurgeon soon. ...Read more

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I have a vp shunt for hydrocephalus and I sometimes zone out duing the day. What does this mean? Is this normal?

ZONE OUT means what?: Please specify if the person asking this question is the patient and are you 16 years of age? If so, we will need a parent or guardian to ask the question on your behalf or giving permission to use this service since it is typically for those 18 or older unless your state recognizes 16 as the age of parental emancipation. But I can tell you that NO, not normal to zone out. You need to be examined ...Read more

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Is it normal for a baby to have hydrocephalus but the fluid is not constant? And the fluid fill parts of the brain that didn't develop?

Is it normal for a baby to have hydrocephalus but the fluid is not constant? And the fluid fill parts of the brain that didn't develop?

Could happen: Not all hydrocephalus is from obstruction. In cases where a part of the brain failed to develop there will be fluid where brain tissue should have been. This is called porencephalic ventricular dilatation. The degree of dilatation may vary depending on body position. ...Read more

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Are needed regular neurological controls at inborn hydrocephalus if inever had problems with this and I lead normal life like otherwise health one?

Hydrocephalus: Check with a neurologist on a yearly basis if you are stable, otherwise more frequently if you are getting headaches. ...Read more

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What are symptoms & chances for 9 mths to develop hydrocephalus due to ivh 2-3. Head always big 90+ %. normal development, last MRI 4 mths normal?

What are symptoms & chances for 9 mths to develop hydrocephalus due to ivh 2-3. Head always big 90+ %. normal development, last MRI 4 mths normal?

Very low: One of the most common causes of large head size is genetic. Likely his parents or other relatives wear big hats. A normal MRI excludes hydrocephalus and normal development confirms the MRI finding. Do not worry. ...Read more

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Can people with hydrocephalus live a normal life?

Nl life w/hydrocepha: People with hydrocephalus that has been treated can lead a normal life and life span. However, I would not suggest participation in contact sports. ...Read more

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Can a child with hydrocephalus lead a normal life?

Can a child with hydrocephalus lead a normal life?

Yes: A child with hydrocephalus can lead a very normal life. I presume you are asking whether or not the shunt will affect the ability to have a normal life. Patients with shunts can and do live very normal and full and productive lives. There certainly are some precautions they need to take such as being aware of the signs of shunt dysfunction. Also, there may be some limitations to avoid head injury. ...Read more

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I have hydrocephalus and am in my 3rd trimester. Is it possible for the shunt to malfuntion then go back to normal?

May be intermittent: A vp shunt involves tubing that goes from the ventricle to a valve above the ear and then along the neck and chest and into the abdomen. This tubing curls in the abdomen and drains the brain fluid there. Obstruction can occur anywhere along this route. The obstruction may be intermittent. X-rays can look at the tubing, and taping the valve can be sure it is working. Get a thorough checkup. ...Read more

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I have bro whi have an hydrocephalus and he's two years old is it normal that he cannot sit or walk or even talk plz need help?

Problem diagnosis: Normal brain "plumbing" includes structures that make cerebro-spinal fluid which travels though normal channels and is eventually pushed into areas where it is absorbed and thus recycled. Hydrocephalus occurs when the fluid builds up excessively. It can create pressure that can cause permanent brain injury.Surgery to create a bypass for fluid is sometimes curative. Any damage could be permanent. ...Read more

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I have hydrocephalus since birth. I have a programmable shunt. Over a couple of days I am now getting neck pain. Is this normal?

I have hydrocephalus since birth. I have a programmable shunt. Over a couple of days I am now getting neck pain. Is this normal?

Hard to say.: Neck pain has lots of causes, major and minor. With a shunt, you have to be cautious, though. If you have never had neck pain like this before, or if you have fever, dizziness, or anything else unusual, give your doc a call for advice and treatment options or go to the ER. Your doc will get more details than you can give here, and will guide you best. ...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