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Normal pressure hydrocephalus

Hydrocephalus normotensivus · Normotenzní hydrocefalus

What it is

Enlarged ventricles at normal pressure — one of the few reversible dementias.

Symptoms & signs

  • Magnetic gait
  • urinary incontinence
  • cognitive slowing (the 'wet, wacky, wobbly' triad)

🚩 Get help if…

  • call 112 / 911 now Headache with vomiting and drowsiness after a shunt
  • call 112 / 911 now Sudden confusion or loss of consciousness
  • see a doctor soon Shuffling walk, memory loss and bladder leaks together — ask for a test
  • see a doctor soon Fever or redness along the shunt

Where it strikes

Medical treatment

  • Large-volume lumbar tap as a test
  • ventriculoperitoneal shunt

Natural & lifestyle

  • Gait and balance rehabilitation after shunting

Emerging & experimental

  • Programmable valve algorithms
  • CSF biomarker selection

Alternative, off-label & anecdotal

Approaches used outside the guidelines, with what their supporters report and what testing has found so far.

  • Aerobic exercise after shunting — small studies, better walking early / small studies
  • 'Brain-boosting' supplements — do not treat this; the shunt does anecdotal / traditional

ICD codes