About NPH Banner

About Normal Pressure Hydrocephalus

What Is Normal Pressure Hydrocephalus (NPH)?

Normal Pressure Hydrocephalus (NPH) is an accumulation of cerebrospinal fluid that causes the ventricles in the brain to become enlarged, sometimes with little or no increase in intracranial pressure (ICP).

How Is NPH Different from Alzheimer's or Parkinson's?

As many as 250,000 Americans with symptoms similar to those of dementia, Alzheimer’s disease, or Parkinson’s disease may actually have NPH.

It’s often difficult to tell the difference because the symptoms of NPH are in many ways similar to those of Alzheimer’s or Parkinson’s. 

However, the feeling of feet glued to the floor, or difficulty walking is the first symptom to appear, in NPH. And it’s different from, for example, Parkinson’s tremors. In Alzheimer’s, memory loss and confusion tend to be early symptoms, whereas in NPH these may appear later. Fortunately, once NPH is confirmed, chances are it can be treated.

Medical personnel showing test results on a clipboard to a male patient.

More About Hydrocephalus

Hydrocephalus is an abnormal (excessive) accumulation of fluid in the head. The fluid is called cerebrospinal fluid, commonly referred to as CSF. The CSF is located and produced within cavities of the brain called ventricles. The function of CSF is to cushion the delicate brain and spinal cord tissue from injuries and maintain proper balance of nutrients around the central nervous system. 

Normally, the bloodstream absorbs most of the CSF produced on a daily basis. Every day, your body produces a certain amount of CSF, and that same amount of CSF is absorbed in the brain. 

When an imbalance occurs, an excess of CSF fluid builds up, resulting in the condition known as hydrocephalus. Left untreated, hydrocephalus can create increased pressure in the head and may result in increased symptoms or brain damage.

Older couple going over medical bills and paperwork. The woman is stressed and the man is trying to comfort her.