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Normal pressure hydrocephalus (NPH), also called malresorptive hydrocephalus, is a form of communicating hydrocephalus in which excess cerebrospinal fluid (CSF) builds up in the ventricles, leading to normal or slightly elevated cerebrospinal fluid pressure.
Hydrocephalus can be classified via mechanism into communicating, noncommunicating, ex vacuo, and normal pressure hydrocephalus. Diagnosis is made by physical examination and medical imaging, such as a CT scan. [1] Hydrocephalus is typically treated through surgery. One option is the placement of a shunt system. [1]
Blood pressure should be sufficient so as to sustain cerebral perfusion pressures greater than 60 mm Hg for optimal blood blow to the brain. [3] Vasopressors may be used to achieve adequate blood pressures with minimal risk of increasing intracranial pressures. [3] However, sharp rises in blood pressure should be avoided. [3]
The CSF tap test, sometimes lumbar tap test or Miller Fisher Test, is a medical test that is used to decide whether shunting of cerebrospinal fluid (CSF) would be helpful in a patient with suspected normal pressure hydrocephalus (NPH).
Normal pressure hydrocephalus (NPH) looks at CSF flow values and velocities, which is important for diagnosis because NPH is idiopathic and has varying symptoms amongst patients including urinary incontinence, dementia, and gait disturbances. Increased aqueduct CSF stroke volume and velocity are indicators of NPH. [7]
An external ventricular drain (EVD), also known as a ventriculostomy or extraventricular drain, is a device used in neurosurgery to treat hydrocephalus and relieve elevated intracranial pressure when the normal flow of cerebrospinal fluid (CSF) inside the brain is obstructed.
Does not have an adjustable pressure setting. First mass-produced valve used to treat hydrocephalus in 1956. [5] Spitz-Holter Uses slits in silicone to avoid mechanical failure. [6] [7] Anti-siphon Prevents over drainage by preventing the siphon effect. The device closes when the pressure within the valve becomes negative relative to the ...
A medical tetrad is a group of four, while a pentad is a group of five. Triads. Name ... Normal pressure hydrocephalus: Triad (Triad of Sandblom) Malena, Obstructive ...