Term
Normal Pressure Hydrocephalus is most common in what population?
Idopathic in what % of cases? |
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Definition
Adults >60 yoa
50% of case idiopathic
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Term
| Secondary Normal Pressure Hydrocephalus can be a result of what? |
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Definition
Head Trauma
Complication of surgery
Meningitis/Infection
Subarachnoid hemorrhage
Tumor
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Term
| What is the pathology: (the study of the specific nature of disease especially the structure and functional changes produced by them) of NPH? |
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Definition
Abnormal increase of fluid (CSF) in the brain's ventricles
Blocking the flow of CSF in SC and brain
Enlarged Ventricles (ventriculmegaly)
Increased pressure on brain structures
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Term
| What are some of the cardinal symptoms of NPH? |
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Definition
Gait apraxia:
festination; being of walking gait characterized by invol acceletation
difficulty initiating or terminating gait
suffling gait
Progressive cognitive impairments
Urinary frequency and incontinence
General slowing of movements |
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Term
| what are features that would lead to the Dx of NPH? |
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Definition
Presence of gait problems w/ or w/o incontinence or dementia
Enlarged ventricles on CT/MRI scan
CSF removal:
Large vol lumbar puncture- specific but not sensitive
Continuous CSF drainage via spinal catheter- both sen and sp |
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Term
| What are other disease that could be dx with similar sx? |
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Definition
Parkinsons disease
Alzheimers
Peripherial neuropathy
Cevical or lumbar steosis wit myelophathy
Prostate dysfunction or stress incontinence |
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Term
| What about a shunt is helpful in dx NPH? |
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Definition
| If a shunt is put and and it helps releive symptoms to the degree that it help allivate them will clue as to how much the sx are effected by the NPH |
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Term
what is the prevalance of NPH?
what is the def of prevalance? |
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Definition
At least 5% of all patients with dementia
High suspicion for NPH if gait problems are noted early
Prevalance: the # of people with the condition at a specific point in time
indicence: # of new cases of pathology in a given period of time |
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Term
with NPH the improvement in gait or cognitive status is usually greater?
which has a great chance of improving 2ndary hydrocephalus or idiopathic NPH |
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Definition
Gait
2ndary hydrocephalus |
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Term
What is th prognosis of NPH based upon?
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Definition
Early dx and tx
degree of cog impairments
COmplication of VP shunts (death or sever morbidity can occur in 5-8% of the population)
CO-morbidities |
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Term
What is important about the lumbar drain proir to PT in people with NPH?
what are indications for PT with NPH? |
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Definition
The nurse should clamp is in order to avoid drainage
Gait instability
Hx of falls
Balance problems
Decrease endurance
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Term
| look over the general PT POC at the end of the NPH lecture |
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Definition
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