Normal Pressure Hydrocephalus

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My father is not able to walk properly. Should we get a CT scan?

Query: Hi doctor, My father is not able to walk properly. His x-ray is fine. I guess it as some brain issue. Shall I go with CT scan? Kindly suggest.  Read Full »


Dr. Rajyaguru

Neuro Surgeon, Neurologist, Spine Surgeon

Answer: Hi, Welcome to icliniq.com. If patient not able to walk properly, then there are three most common possibilities. He has problem in the brain. He has problem in the spine. He has problem in peripheral nerves. If he has brain problem, then he might have a stroke or NPH (normal pressure hydrocephalus)...  Read Full »

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

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 proble...  Read Full »


Dr. Aida Quka

Neurologist

Answer: 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 an...  Read Full »

Could you please explain MRI brain and CSF studies related to NPH?

Query: Hello doctor,Can you please give the diagnosis of the uploaded MRI brain and CSF studies with a detailed report? Please advise on the action plan as to how to get the CSF findings treated. The MRI report is enclosed. Does the enclosed report co-relate with your findings? The MRI report CSF studies r...  Read Full »


Dr. Vivek Chail

Family Physician, General Practitioner, Radiodiagnosis Physician, Radiologist

Answer: Hi, Welcome back to icliniq.com. The findings in the report and the images are matching and acceptable (attachment removed to protect patient identity). The term NPH is usually applied in cases where there is abnormal CSF hyperdynamic circulation with gait problems or without gait problems if inco...  Read Full »

My mother has NPH. Should she go for CSF drainage or shunt surgery?

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 issu...  Read Full »


Dr. Chandan Mohanty

Neurologist, Neuro Surgeon, Spine Surgeon, Spine Health Specialist

Answer: 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 suc...  Read Full »

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