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Normal pressure hydrocephalus: current concepts in diagnosis and management focused on clinical decision

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This review discusses diagnostic criteria and innovative approaches to shunt surgery in patients with normal-pressure hydrocephalus.

Patients diagnosed with idiopathic normal-pressure hydrocephalus may achieve a 70% to 90% chance of improvement after shunt surgery.
Clinical features of idiopathic nph include gait apraxia, cognitive impairment, and ventriculomegaly, indicating an increased prevalence.
Physiologically based tests like the tap test and CSF infusion testing can accurately determine shunt responsiveness in patients.
Current management strategies for normal-pressure hydrocephalus include surgical and nonsurgical approaches, with ongoing research needed for refinement.

Jung-Il Lee (2025) studied this question.

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