The diagnosis and surgical treatment of normal-pressure hydrocephalus : JAAPA

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The diagnosis and surgical treatment of normal-pressure hydrocephalus

Johnson, Michelle MSBS, PA-C; Graham, Karen MPAS, PA-C

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  • 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.

© 2010 American Academy of Physician Assistants.

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