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Low-pressure hydrocephalus (LPH) is a condition whereby ventricles are enlarged and the individual experiences severe dementia, inability to walk, and incontinence – despite very low intracranial pressure (ICP). [1] Low pressure hydrocephalus appears to be a more acute form of normal pressure hydrocephalus. If not diagnosed in a timely ...
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).
The treatment of choice in NPH is ventriculoperitoneal shunt surgery (VPS). This treatment needs a VP shunt, which is a catheter with a valve aiming at implementing a one-way outflow of the excessive amount of CSF from the ventricles. It is obligatory to have patency control because of some possible complications such as infections and obstruction.
Hydrocephalus is a condition in which cerebrospinal fluid (CSF) builds up within the brain. [1] This typically causes increased pressure inside the skull.Older people may have headaches, double vision, poor balance, urinary incontinence, personality changes, or mental impairment.
The main purpose was the treatment of raised intracranial pressure rather than for diagnosis. [56] The technique for needle lumbar puncture was then introduced by the German physician Heinrich Quincke , who credits Wynter with the earlier discovery; he first reported his experiences at an internal medicine conference in Wiesbaden , Germany, in ...
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 ...
The surgical treatment options for hydrocephalus are, as previously mentioned, implantation of a cerebral shunt and ETV. Especially in the youngest age group (younger than two years of age) it remains uncertain what is the superior treatment modality. Currently, a large international, multicenter study is conducted to address this issue.
When a patient has communicating hydrocephalus, the lateral ventricles and medial parts of the temporal lobes expand and compress the aqueduct. As a result, the pressure within the fourth ventricle drops and causes the aqueduct to close more tightly. This in effect could make aqueductal stenosis a byproduct of hydrocephalus. [8]
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