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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.
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).
A test for assessing shunt function in symptomatic hydrocephalus patients. ShuntCheck flow data, used in conjunction with other diagnostic test results and with physician judgment, can aid in ruling in or ruling out shunt obstruction. [1] A tool for establishing “normal” CSF flow patterns in asymptomatic patients.
Normal pressure hydrocephalus affects about 6% of patients over 80. [4] Description of hydrocephalus by Hippocrates dates back more than 2,000 years. [ 5 ] The word hydrocephalus is from the Greek ὕδωρ , hydōr , meaning 'water' and κεφαλή , kephalē , meaning 'head'.
Decreased aqueduct stroke volume and peak systolic velocity could be detected through CSF flow to diagnose a patient with aqueduct stenosis. 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 ...
If left unchecked, the excess CSF can lead to an increase in intracranial pressure (ICP), which can cause intracranial hematoma, cerebral edema, crushed brain tissue or herniation. [1] The drainage provided by a shunt can alleviate or prevent these problems in patients with hydrocephalus or related diseases.
Intracranial pressure (ICP) is the pressure exerted by fluids such as cerebrospinal fluid (CSF) inside the skull and on the brain tissue. ICP is measured in millimeters of mercury and at rest, is normally 7–15 mmHg for a supine adult. This equals to 9–20 cmH 2 O, which is a common scale used in lumbar punctures. [1]
However, nobody was able to explain the reason why, which led Hakim's curiosity to research more back in Colombia. In 1957, he finally realized that these patients had what is now known as normal pressure hydrocephalus (NPH) after finding a 16-year-old live patient with this condition. He published his work in 1964 and called Dr. Raymond Adams ...