We report the case of a 72-year-old patient presenting in our ICU with persistent postoperative coma in a context of recent unexplored neurological dysfunction. Detailed medical history taking from the patient's family revealed he recently suffered from gait instability, urinary incontinence, and slight cognitive impairment. These constituted the clinical triad of normal pressure hydrocephalus ...

BACKGROUND AND PURPOSE Normal pressure hydrocephalus (NPH) is considered to be a combination of altered CSF resorption and a reversible form of cerebral ischemia. The hypothesis tested in this study was that a reduction in venous compliance in the territory drained by the superior sagittal sinus (SSS) is associated with NPH and cerebral ischemia. METHODS This prospective study involved 27 pat...

BACKGROUND Since the condition was first described in 1965, the syndrome of normal pressure hydrocephalus (NPH) has conventionally been managed by placement of a cerebrospinal fluid (CSF) shunt. OBJECTIVES To determine the effectiveness of shunting procedures in promoting stability or improvement in the neurological symptoms and signs of NPH. SEARCH STRATEGY The trials were identified from ...

Introduction Normal pressure hydrocephalus (NPH) is a clinical syndrome characterized by enlargement of the brain’s ventricular spaces without obstruction of cerebrospinal fluid (CSF) flow or elevation in CSF pressure. This condition may develop from a variety of processes that cause decreased resorbtion or over-production of CSF. The net effect of NPH is a reduction in the compliance of the br...