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Normal Pressure Hydrocephalus

Normal Pressure Hydrocephalus

Alternate Names

  • hydrocephalus ex vacuo


Normal pressure hydrocephalus is a condition in which the cerebral ventricles are enlarged. The cerebral ventricles are cavities within the brain that contain the cerebrospinal fluid.

What is going on in the body?

This condition occurs mainly in older people when the ventricles slowly enlarge. Since the skull is not flexible, the brain thins to allow the ventricle to grow. This allows the pressure within the brain to remain normal.


What are the causes and risks of the condition?

The cause of this condition is unknown. Symptoms will worsen with lack of treatment. When thought processes and control of body movement become impaired, the person is at increased risk of injury from falling. Poor control of bowel and urinary function may result in urinary tract infections and skin breakdown.


What can be done to prevent the condition?

There is no way to prevent normal pressure hydrocephalus.


How is the condition diagnosed?

Diagnosis is based on imaging studies such as a cranial MRI or cranial CT scan,

Long Term Effects

What are the long-term effects of the condition?

Lack of treatment may lead the person to become bedridden, psychotic, and completely unable to control bowel and/or urinary function.

Other Risks

What are the risks to others?

There are no risks to others.


What are the treatments for the condition?

Treatment involves the surgical insertion of a ventriculoperitoneal shunt. The shunt drains cerebrospinal fluid from the enlarged ventricles of the brain, through a long tube into the abdomen. Doing this helps relieve the pressure on the ventricle walls, preventing further enlargement. The ventricle may also return to a relatively normal size.

Side Effects

What are the side effects of the treatments?

Infection may occur after surgery. Occasionally, the ventriculoperitoneal shunt may not work properly.

After Treatment

What happens after treatment for the condition?

Rehabilitation therapy can be provided to improve body movements, teach bowel and bladder control, and assist with other problems that interfere with everyday activities. Rehabilitation might include physical therapy, occupational therapy and speech therapy.


How is the condition monitored?

Monitoring involves watching for return of symptoms. This would indicate that the shunt is not working properly and might need to be repaired. Any new or worsening symptoms should be reported to the healthcare professional.

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