Normal Pressure Hydrocephalus

What is Normal Pressure Hydrocephalus (NPH)?

Normal pressure hydrocephalus (NPH) is a neurological condition common in older adults that causes an enlargement of brain ventricles and stretched nerve tissue in the brain due to an accumulation of cerebrospinal fluid. Patients with NPH usually experience difficulty walking, dementia and bladder control problems. As these symptoms are often associated with the aging process, many patients do not realize that they are suffering from NPH and think they must live with these changes.



Treatment and Surgery for NPH

Treatment for NPH usually involves placing a shunt within the ventricular system to help effectively drain fluid from the brain and into another area of the body where it can be easily absorbed. This is done through a surgical procedure that creates a small hole in the skull and in the abdomen to place the shunt and ensure proper drainage.

Most patients experience successful relief from the symptoms of NPH after this procedure. Others may experience some relief, but still have some symptoms of NPH.

Variable Pressure Shunting Techniques

A shunt is a device that is implanted into the brain in patients with NPH in order to drain cerebrospinal fluid (CSF) away from the brain and into the abdomen, where it can be easily absorbed. While traditionally shunts have used a fixed pressure valve to moderate the flow of CSF out of the brain, variable pressure shunting is often now used to adjust the pressure of the valve for more efficient treatment of NPH. In order for pressure to be adjusted in fixed pressure valves, revision surgery would be needed to replace the valve.

Variable pressure valves are adjusted noninvasively through magnetic field technology. There are several different variable pressure valves available, and your doctor will decide which one is most appropriate for you based on an evaluation of your individual condition.

Variable pressure valves allow for a more customized treatment for NPH and reduce the need for additional procedures. Through a simple and safe implantation procedure, patients can receive effective, long-term drainage of excessive CSF fluid.

At Princeton Neurological Surgery, Dr. Lipani is a board certified fellowship trained neurosurgeon in New Jersey and specialist in the treatment for normal pressure hydrocephalus. Dr. Lipani treats patients from around the world as well as locally from Princeton, New Brunswick, Hopewell, Pennington and communities throughout Somerset, Middlesex, Ocean, Burlington, Monmouth, Morris and Mercer Counties for NPH. Dr. Lipani offers image guided brain surgery approaches and ventriculoperitoneal shunt placement for NPH treatment, tailored to the needs of each patient. For state-of-the-art NPH treatment call or email us to schedule a consultation at our offices in Hamilton, Bridgewater, or Morristown, New Jersey!

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Dr. Lipani’s affiliation with several major New Jersey hospitals means that you will receive the normal pressure hydrocephalus surgery you need without having to travel to New York or Philadelphia. Dr. Lipani has over 15 years of experience performing brain and spine surgeries, so you can count on him to provide the best possible quality of care to all his patients.

If you would like more information about our services or to schedule an appointment, feel free to fill out our convenient contact form or call us directly at 609-890-3400.

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