HomeAnswersNeurologyhydrocephalusIs surgery mandatory for normal pressure hydrocephalus in a long term diabetic?

My mother is a long term diabetic with normal pressure hydrocephalus. Can she undergo surgery?

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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

Dr. Vinodhini J.

Published At June 24, 2020
Reviewed AtDecember 14, 2023

Patient's Query

Hello doctor,

My mother is 70 years old and has long diabetes (almost 40 years). For the last 20 years, she have a memory problem. She fell two times almost eight years ago. After that she have walking difficulty, for the last five years, she also have a problem controlling urine also. These problems are increasing day by day. Doctors suspect it may be normal pressure hydrocephalus. But her body is extremely weak, so it is a big question whether she can take the pressure of surgery or not.

She is taking Trajenta Duo (2.5/1000) two times, Vogo 0.2 two times, Olmezest- 40, Betonin syrup twice daily, Rejunex CD 3, Ecospirin AV 75, Bladmir-25, Aricept-5, Softvac-SF, Insulin Lantus 10 unit at night. But we are not getting any improvement. What will we do? Please suggest.

Answered by Dr. Aida Abaz Quka

Hello,

Welcome to icliniq.com.

I recommend trying Furosemide 40 mg twice daily and Acetazolamide 250 mg twice daily. She should start these drugs gradually at a low dose and increase gradually the dose. These drugs will help reduce brain fluid. But, if this is not normal pressure hydrocephalus and it is just brain thinning from dementia, she will get worse and you will have to stop these drugs.

You should discuss with her doctor on these treatment options.

I hope this helps.

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

Dr. Aida Abaz Quka
Dr. Aida Abaz Quka

Neurology

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