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.
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.