This is an excellent book that can be used as a starting point to gain a basic understanding
regarding the assessment and management of the adult iNPH patient and would be recommended
reading for anyone with an interest in this important topic. -- Neurosurgery-online.com Often
misunderstood and misdiagnosed normal pressure hydrocephalus (NPH) is a disease of the elderly
that is on the rise as the population ages. Its similarities to Parkinson's disease dementia
and other chronic neurodegenerative conditions make diagnosis challenging requiring clinicians
to be alert to the signs and symptoms that differentiate it.Here is the first comprehensive
book on the topic written by experts who have researched and taught courses on NPH for years.
From clinical characteristics and pathophysiology to signs and symptoms radiographic findings
diagnostic tests and state-of-the-art treatment techniques it covers everything practitioners
need to know about this multi-facetedcondition.Special Features:Describes the classic symptom
triad of gait disturbance urinary incontinence and dementia Covers the full sequence of the
diagnostic work-up including imaging studies non-invasive tests and invasive procedures such
as lumbar infusion and cerebrospinal tap tests Explains the risks and benefits of surgical
implantation of a ventricular-peritoneal (VP) shunt to relieve symptoms and restore function
including key criteria for evaluating shunt responsiveness Provides the first step-by-step
account of operative shunt placement by Dr. Michael Fritsch who has performed the procedure
extensively at leading neurosurgical centers throughout the worldIncluding troubleshooting
techniques following shunt surgery long-term management of patients prognosis for the
condition and future initiatives this all-inclusive reference makes a major contribution to
the field. It is essential for neurosurgeons neurologists internists residents and other
physicians who treat diseases of the elderly in everyday practice.
