Classic NPH Gait Pre-Shunt Surgery

As a medical student, this is very helpful! Thank you to you and the patient for posting this.

The ultimate example of generousity is a scientist sharing his knowledge and experience .. Thank you 💖

Thank you to you and the patient for posting this.

Found this helpful thanks uncle for allowing us to watch you... I don't know why I was like come on come on comme on you can seeing him taking his baby steps... So for thise non medics.. This is due to NPH ( normal pressure hydrocephalus) .. Classical triad of dementia, urinary disturbance and gait disturbance... Which improves on CSF tap ( shunting is done ) .. Gait is called apraxic / magnetic - ie. Slow, short - stepped, unsteady turns, like glued to the surface.. Hope you learn something intresting today / get to recall peeps

Thanks to you and the patient🙏🏻

waw, this is more intense than what I originally thought. Thanks for the upload!

Thank you for posting this video. It seems to me the normal part of the walk relates to the length of a typical distance walked in the home and also a self-discipline directed toward another person.

My father had this exact same thing. Hydrocephalus is a progressive disease if not treated with a brain shunt. He never had shunt surgery. Eventually, in addition to the main 3 symptoms (gait disturbance, dementia, and urinary incontinence) he also developed crippling arthritis, a complete inability to walk, fecal incontinence, and severe dementia. He also had diabetes and experienced several mini strokes without realizing it.

Thanks for sharing❤

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Thank you for posting, this is very helpful! I have a 35 year old special needs daughter with hydrocephalus...She has a VA shunt... I have noticed that lately..this pass week that she's been dragging her feet and lifts her weight from side to side when walking.. She recently had an MRI and has a follow up appointment with Neuro July 19th...

I reviewed the results of the MRI and it clearly showed the ventricles very enlarged. Twice the size of some considered normal size. I asked for a spinal drain also and my daughter , a close friend and I noticed some improvement that lasted several weeks. On the report of the LP the amount of fluid drain was recorded as ".6" . It didn't say .6 oz. or any other measured unit. The doctor at Mayo was confused and also thought it was a very small amount and pretty much a waste of time.

Thankou for sharing

Well explained by means of video

very helpful

My mother has the same gait..she has NPH and the vp shunt procedure will be after 3 days..

Eric... It was hard for me to think I new more than the doctor did, but I simply wasn't convinced the doctor was right, so I took my mother to Mayo Clinic and was so glad I didn't believe the doctor. I don't think anyone gets Alzhiemers after a two hour nap.

Which doctor would you believe? The original doctor that diagnosed her with Alzhiemers or the one at Mayo Clinic that said she didn't? After talking to my mothers original doctor about the possibility of NPH, she became angry , but a month later during her appointment Dr. Rosca told my mother she felt sure she didn't have Alzheimers and refered her to an neurologist. I believe the doctors don't always know . Some are greedy, some think they are the only ones that can learn medicine.

@nawarusa @nawarusa MRI is not the correct test - a CATSCAN shows the size of the ventricles - enlarged ventricles is the classic symptom, none are definitive though. Sometimes people don't know they have NPH until they get the shunt installed. If it helps, it's NPH. Sometimes it can takes months to stabilize, for many lucky people, it's instantaneous. A spinal drain can mimic the effects of a shunt and is worthwhile prior to installing one to see what effect drainage using a shunt might do.

Wait. The beginning he’s walking very fast but shuffling. The end he’s walking slow but shuffling. Which is it