- Discuss the clinical presentation of normal-pressure hydrocephalus (NPH) and how it is diagnosed
- Describe how patients with NPH are selected for ventriculoperitoneal (VP) shunt surgery
- Explain the surgical complications and prognosis associated with VP shunt surgery
- Discuss the management of patients who do not improve after VP shunt insertion
EARN CATEGORY I CME CREDIT by reading this article and the article beginning on page 22 and successfully completing the posttest on page 57. Successful completion is defined as a cumulative score of at least 70% correct. This material has been reviewed and is approved for 1 hour of clinical Category I (Preapproved) CME credit by the AAPA. The term of approval is for 1 year from the publication date of May 2010.
NPH is characterized by gait difficulty, cognitive impairment, and urinary incontinence. For some patients, ventriculoperitoneal shunt surgery offers dramatic improvement.