Patient with normal pressure hydrocephalus. CT brain picture distended ventricles.
What is initial treatment?
A . Lumber punctures and drains fluid
B . Shunt
C . Diuretics
Answer: B
Explanation:
Management Surgery Surgical CSF shunting remains the main treatment modality for NPH (NORMAL PRESSURE HYDROCEPHALUS)). Prior to embarking upon surgical therapy, knowing which patients may benefit from surgery is necessary. Detailed testing is performed before and after CSF drainage (e.g., baseline neuropsychological evaluation, timed walking test, large-volume lumbar puncture, external lumbar drainage, CSF infusion testing).