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While significant symptom improvement can occur, the extent and duration of benefit vary among individuals. Our protocol consists of physical therapy and occupational therapy practitioners administering validated tests of gait, balance, and cognition before and after lumbar drain placement. Therapy in the early stages for those without significant comorbidities may enhance survival.
It’s estimated that more than 80% of those properly diagnosed with nph and screened for shunt responsiveness will experience rapid improvement in their condition, although it may take weeks or months to see the full benefits of the procedure. Monitoring, identification and treatment of shunt obstruction is a key management principle. About 30 percent to 50 percent of patients with idiopathic nph (no known cause) improve after receiving a shunt
About 50 percent to 70 percent of patients with secondary nph (related to another brain disorder) improve with a shunt
The shunt is implanted into one of the ventricles of the brain. In 2020, 37 normal pressure hydrocephalus patients reported whether they experienced improvements in their gait, urinary, and cognitive symptoms after ventriculoperitoneal shunt This case report describes cognitive decline after vps surgery for nph Currently, vps remains the standard and optimal treatment strategy for individuals with nph based on prominent treatment effects with an acceptable complication rate.
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