{"id":406,"date":"2014-06-19T09:07:01","date_gmt":"2014-06-19T09:07:01","guid":{"rendered":"http:\/\/stg-blogs.bmj.com\/jnnp\/?p=406"},"modified":"2014-06-26T13:12:53","modified_gmt":"2014-06-26T13:12:53","slug":"surgey-in-normal-pressure-hydrocephalus-dont-wait-to-shunt","status":"publish","type":"post","link":"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/06\/19\/surgey-in-normal-pressure-hydrocephalus-dont-wait-to-shunt\/","title":{"rendered":"Surgery in Normal Pressure Hydrocephalus:  Dont wait to shunt!"},"content":{"rendered":"<p>Normal pressure hydrocephalus (NPH), a misnomer as the intracranial pressure is increased, may be a debilitating disorder presenting with cognitive decline, gait abnormalities and urinary incontinence.\u00a0 Surgery may arrest and reverse the neurological deficits.\u00a0 The consequences of postponing shunting surgery remain unknown, although the eager neurologist may be reassured by the neurosurgeons that there may be time.\u00a0 In this issue of JNNP, Andren and colleagues dispel this myth and suggest that early intervention may be best and should be performed soon after the diagnosis.\u00a0 Importantly, all three deficits seemed to be impacted.<\/p>\n<p>&nbsp;<\/p>\n<p>MUST READ http:\/\/jnnp.bmj.com\/content\/85\/7\/806.abstract<\/p>\n<div id=\"slugline\"><cite><span id=\"article-slug-jnl-abbr\"><abbr class=\"slug-jnl-abbrev\" title=\"Journal of Neurology, Neurosurgery &amp; Psychiatry\"> Neurol Neurosurg Psychiatry<\/abbr> <\/span> <span class=\"slug-pub-date\">2014;<\/span><span class=\"slug-vol\">85<span class=\"cit-sep cit-sep-after-article-vol\">:<\/span><\/span><span class=\"slug-pages\">806-810 <\/span> <span class=\"slug-doi\" title=\"10.1136\/jnnp-2013-306117\"> doi:10.1136\/jnnp-2013-306117 <\/span> <\/cite><\/div>\n<ul class=\"subject-headings last-child\">\n<li>Neurosurgery<\/li>\n<\/ul>\n<ul class=\"series-titles\">\n<li>Research paper<\/li>\n<\/ul>\n<div class=\"article abstract-view \">\n<h1 id=\"article-title-1\">Natural course of idiopathic normal pressure hydrocephalus<\/h1>\n<div class=\"contributors\">\n<ol id=\"contrib-group-1\" class=\"contributor-list\">\n<li id=\"contrib-1\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Kerstin+Andr%C3%A9n&amp;sortspec=date&amp;submit=Submit\">Kerstin Andr\u00e9n<\/a><\/span>,<\/li>\n<li id=\"contrib-2\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Carsten+Wikkels%C3%B8&amp;sortspec=date&amp;submit=Submit\">Carsten Wikkels\u00f8<\/a><\/span>,<\/li>\n<li id=\"contrib-3\" class=\"contributor\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Magnus+Tisell&amp;sortspec=date&amp;submit=Submit\">Magnus Tisell<\/a><\/span>,<\/li>\n<li id=\"contrib-4\" class=\"last\"><span class=\"name\"><a class=\"name-search\" href=\"http:\/\/jnnp.bmj.com\/search?author1=Per+Hellstr%C3%B6m&amp;sortspec=date&amp;submit=Submit\">Per Hellstr\u00f6m<\/a><\/span><\/li>\n<\/ol>\n<p style=\"text-align: center;\"><strong>SHUNTING SHOULD BE PERFORMED ASAP?\u00a0 What do you think?<\/strong><\/p>\n<p><img loading=\"lazy\" decoding=\"async\" id=\"irc_mi\" class=\"aligncenter\" style=\"margin-top: 124px;\" src=\"http:\/\/gardenrain.files.wordpress.com\/2009\/05\/normal-pressure-hydrocephalus1.jpg\" alt=\"\" width=\"420\" height=\"365\" \/><\/p>\n<p>From website https:\/\/www.google.com.au\/search?q=normal+pressure+hydrocephalus&amp;source=lnms&amp;tbm=isch&amp;sa=X&amp;ei=36eiU46ZDcSRkQXbiIDYCQ&amp;ved=0CAYQ_AUoAQ&amp;biw=1680&amp;bih=890#facrc=_&amp;imgdii=_&amp;imgrc=Dxu_fwNRwrhwjM%253A%3BqyTkidWdUVnKaM%3Bhttp%253A%252F%252Fgardenrain.files.wordpress.com%252F2009%252F05%252Fnormal-pressure-hydrocephalus1.jpg%3Bhttp%253A%252F%252Fgardenrain.wordpress.com%252F2009%252F05%252F01%252Fnormal-pressure-hydrocephalus-nph%252F%3B420%3B365<\/p>\n<\/div>\n<\/div>\n<p><!--TrendMD v2.4.8--><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Normal pressure hydrocephalus (NPH), a misnomer as the intracranial pressure is increased, may be a debilitating disorder presenting with cognitive decline, gait abnormalities and urinary incontinence.\u00a0 Surgery may arrest and reverse the neurological deficits.\u00a0 The consequences of postponing shunting surgery remain unknown, although the eager neurologist may be reassured by the neurosurgeons that there may [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/stg-blogs.bmj.com\/jnnp\/2014\/06\/19\/surgey-in-normal-pressure-hydrocephalus-dont-wait-to-shunt\/\">Read More&#8230;<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-406","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/406","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/comments?post=406"}],"version-history":[{"count":0,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/posts\/406\/revisions"}],"wp:attachment":[{"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/media?parent=406"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/categories?post=406"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/stg-blogs.bmj.com\/jnnp\/wp-json\/wp\/v2\/tags?post=406"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}