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HomeAnswersNeurosurgeryhydrocephalusWhich is a better treatment for NPH, shunt surgery or CSF drainage?

Mom has NPH. Should my mother go for shunt or CSF drainage?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

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Published At July 12, 2017
Reviewed AtMay 8, 2024

Patient's Query

Hello doctor,

My 76 year old mother was recently diagnosed with normal pressure hydrocephalus. She is having trouble walking. She can walk only three to four steps at a time. She has been having this difficulty since a month now. She is currently not on any medication for this or for any other issues. We consulted two different neurosurgeons. One of them suggested going for the shunting procedure directly, while the other has asked us to go for LP (Lumbar puncture) CSF (Cerebrospinal Fluid) drainage and look for clinical improvement. I am confused. Which one should she go for? How complicated is the shunting procedure? How suitable is it, considering her age? I have attached the MRI reports for your consideration.

Hello, Welcome to icliniq.com.

I am sorry to hear about your mother. I have seen her MRI reports (attachment removed to protect patient identity). Going for lumbar puncture (LP) drainage, and then checking for a clinical improvement, before a shunt, has a better chance of determining the overall success of the shunt surgery. So, this is the preferred approach. The shunt surgery is usually straightforward, but how well she responds to it, depends on her general medical condition and overall health. Please discuss this in detail with your neurosurgeon. Wishing her a speedy recovery. Best wishes.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Chandan Mohanty
Dr. Chandan Mohanty


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