Normal Pressure Hydrocephalus

A Sharing Session on Normal Pressure Hydrocephalus (NPH) Suhaila Mohamed Usuludin 17 April 2008

Cerebrospinal Fluid (CSF) ,[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Cerebrospinal Fluid (CSF)

NPH ,[object Object],[object Object],[object Object],[object Object],[object Object]

NPH ,[object Object],[object Object],[object Object]

Symptoms of NPH ,[object Object],[object Object],[object Object],[object Object]

Impaired gait ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],Assessment: Impaired gait

Urinary Incontinence ,[object Object],[object Object],[object Object],[object Object]

Impaired Cognitive Functions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Assessment of Impaired Cognitive Functions

NOT Expected Symptoms ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Differential Diagnoses ,[object Object],[object Object],[object Object],[object Object],[object Object]

How is it Diagnosed? ,[object Object],[object Object],MRI showing ventriculomegaly

[object Object],[object Object],[object Object],How is it Diagnosed?

Surgical Management ,[object Object],[object Object],[object Object]

VP Shunt ,[object Object],[object Object],[object Object],With five pressure level settings, the programmable, adjustable Strata® valve (top) can be "fine-tuned" by the physician after shunt surgery for NPH. Adjusting the valve and verifying the setting is done quickly in the physician's office using a simple set of magnetic tools (bottom), eliminating the need for additional surgery.

Venticuloatrial Shunt (VA Shunt) ,[object Object],[object Object],[object Object]

To Shunt or Not To Shunt? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Operation Risks ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Operation Risks ,[object Object],[object Object],[object Object],[object Object]

Prognosis ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Rehabilitation Implications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

References ,[object Object],[object Object],[object Object],[object Object],[object Object]

Normal Pressure Hydrocephalus

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Normal Pressure Hydrocephalus