Normal pressure hydrocephalus, or a buildup of fluids surrounding the brain, is characterized by gait disturbance, incontinence or memory deficits. Often it is misdiagnosed as Alzheimer or Parkinson's disease, or just as atrophy of the brain. Imaging of the brain shows enlarged brain chambers (ventricles).

Hydrocephalus comparison

Left: a brain affected by hydrocephalus. Right: a healthy brain.

Treatment is very effective and keeps patients mobile, increasing their quality of life.

Normal pressure hydrocephalus is a disease of elderly people. An estimate 5% of people older than 65 years suffer from the disease, which means that almost everybody knows someone with normal pressure hydrocephalus.

The first step: The right diagnosis

In early stages, the diagnosis is not easy: gait disturbance is only noticeable by the patient before it deteriorates and is observable by others. The disease is progressive and, if not treated, can result in preterm nursing needs and death. Therefore, an accurate diagnosis is essential to maintain the quality of life.

Diagnosis is completed by evaluating the patient history, performing a neurological examination, high resolution imaging (MRI) and a spinal tap test, where brain water (cerebrospinal fluid) is drained via a lumbar puncture in the lower back.

Treatment of Normal Pressure Hydrocephalus

Our neurosurgical department specializes in the diagnosis and treatment of normal pressure hydrocephalus.

During the first visit, attention is focused in informing patients and their relatives about the natural course of the disease and what the treatment (or lack of it) could mean for the future.

Medical care and treatments may include:

  • Information of the disease and its relevance to daily life
  • High expertise in diagnostic tools and differential diagnosis
  • Clarifying the diagnosis and showing the recovering potential by a brain water tap test
  • Individually tailored surgical approach (endoscopy or hydrocephalus shunt with hydrostatic programmable valves)
  • Follow-up of shunt systems with eventual reprogramming of the valve
  • Regular visits and discussions with the inclusion of family members

Please contact Premier Healthcare to discuss treatment opportunities in Germany for hydrocephalus and other neurological conditions.