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Recovery and Outcome Towards Full Life
Most patients with hydrocephalus have every right to look forward to a normal future. However, because this condition is "on-going," patients do require long-term, follow-up care by a physician knowledgeable in the diagnosis and treatment of NPH. Having medical check-ups at intervals recommended by the neurosurgeon is sensible. The patient, or his/her family, must assume a share of the responsibility for follow-up care. The physician will also keep a watchful eye on the patient and pick up subtle changes and symptoms that may indicate a complication.
The symptoms associated with NPH (walking difficulties, mild dementia, poor bladder control) may improve quickly, or may take weeks to months to improve. In some patients, little or no improvement is a possible outcome.
The rate of success for treating NPH is quite variable, and neurosurgeons do not agree on the factors that will lead to a successful outcome. For those patients that do improve, changes usually occur in the first few weeks, however, a late response to treatment is also possible.
People with NPH and their family must fully understand the benefits and risks associated with shunt treatment. Communication and education are the cornerstones needed for individuals to assess their situation and to determine the course of action specific to their medical needs. |