Learn about Normal Pressure Hydrocephalus Treatment in India — how it works, who it is for, recovery timelines, and what to expect before and after surgery. Compare hospitals and doctors experienced in Normal Pressure Hydrocephalus and request assistance for cost estimates or appointments.

About Normal Pressure Hydrocephalus

Normal Pressure Hydrocephalus (NPH) is a neurological condition characterized by an abnormal buildup of cerebrospinal fluid (CSF) in the brain's ventricles, leading to a classic triad of symptoms: gait disturbance, urinary incontinence, and cognitive decline. The primary neurosurgical procedure for treating NPH is the placement of a ventriculoperitoneal (VP) shunt. This involves inserting a thin, flexible catheter into one of the brain's ventricles to drain excess CSF. The catheter is tunneled under the skin to the abdominal cavity, where the fluid is safely absorbed. This procedure aims to relieve pressure, restore normal CSF flow, and significantly improve the patient's symptoms and quality of life. It is a well-established treatment that can reverse the debilitating effects of NPH when performed on appropriate candidates.

Key Highlights

    Can dramatically improve walking, balance, and mobility.Often leads to significant recovery of bladder control, reducing incontinence.May reverse or stabilize cognitive decline and improve mental clarity.Offers a potential cure for symptoms of idiopathic NPH when medical management fails.Involves a programmable shunt valve that can be non-invasively adjusted for optimal fluid drainage.

Who is this surgery for?

  • Diagnosis of idiopathic Normal Pressure Hydrocephalus confirmed by clinical evaluation and imaging (CT/MRI).
  • Presence of the classic symptom triad: gait apraxia (shuffling, magnetic gait), urinary urgency/incontinence, and cognitive impairment (slowed thinking, forgetfulness).
  • Positive response to a diagnostic CSF tap test (large-volume lumbar puncture), where temporary removal of CSF leads to measurable improvement in gait or cognition.
  • Exclusion of other causes of dementia or gait disorders, such as Alzheimer's disease, Parkinson's disease, or spinal stenosis.
  • Failure to respond to conservative management approaches.

How to prepare

  • Comprehensive neurological and physical examination to confirm NPH diagnosis and surgical candidacy.
  • Pre-operative imaging, typically a brain MRI or CT scan, to assess ventricle size and rule out other pathologies.
  • A diagnostic lumbar puncture (spinal tap) or extended lumbar drainage to test for symptom improvement.
  • Complete blood work, ECG, and chest X-ray to ensure fitness for anesthesia and surgery.
  • Discussion with the neurosurgeon about the procedure, risks, benefits, and setting expectations for recovery.
  • Discontinuation of blood-thinning medications (e.g., aspirin, warfarin) as advised by the medical team.
  • Fasting for 8-12 hours before the scheduled surgery.

Risks & possible complications

  • Infection of the shunt system, which may require antibiotic treatment or surgical revision.
  • Shunt malfunction due to blockage, disconnection, or under-drainage/over-drainage of CSF.
  • Bleeding (intracerebral hemorrhage) during catheter placement.
  • Seizures, although uncommon.
  • Abdominal complications such as pain, fluid collection, or bowel perforation (rare).
  • Subdural hematoma from over-drainage of CSF, especially in elderly patients.
  • General risks associated with anesthesia and surgery.

Recovery & hospital stay

  • Initial hospital stay of 2-4 days for monitoring of neurological status and shunt function.
  • Incision sites on the head and abdomen must be kept clean and dry to prevent infection.
  • Pain at the surgical sites is managed with prescribed medications.
  • Gradual increase in physical activity; physical therapy is often recommended to improve gait and strength.
  • Follow-up appointments are crucial to monitor recovery and adjust the shunt's programmable valve if needed.
  • Patients and caregivers are educated to watch for signs of shunt malfunction (e.g., headache, nausea, vomiting, drowsiness, return of original symptoms) or infection (fever, redness along the shunt tract).
  • Avoid strenuous activities and heavy lifting for several weeks as advised by the surgeon.
  • checked Typical hospital stay: 2-4 days
  • checked Expected recovery time: 4-6 weeks for initial recovery; full assessment of symptom improvement may take several months

Frequently Asked Questions

If you are considering normal pressure hydrocephalus in India, these questions and answers can help you make a confident, informed decision.

Procedure cost in other countries

Here is an overview of how the estimated cost, hospital stay, and recovery time for normal pressure hydrocephalus compare across other countries where we have data.

Country Estimated cost range Typical stay Recovery time View details
India INR 250 Thousand – 600 Thousand 2-4 days ~ 4-6 weeks for initial recovery; full assessment of symptom improvement may take several months Know More
Turkey TRY 875 Thousand – 2.1 Million 2-4 days ~ 4-6 weeks for initial recovery; full assessment of symptom improvement may take several months Know More

Top hospitals for Normal Pressure Hydrocephalus in India

These partner hospitals in India have dedicated neurosurgery teams and experience managing patients undergoing normal pressure hydrocephalus.

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Kamineni Hospital LB Nagar

  • IconHyderabad, India
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3363+ Rating

Kamineni Hospital, King Koti

  • IconHyderabad, India
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15+ Rating

Manipal Hospital Mukundapur

  • IconKolkata, India
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43+ Rating

Manipal Hospital Dhakuria

  • IconKolkata, India
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1681+ Rating

Manipal Hospital Dwarka

  • IconDelhi, India
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121+ Rating

Manipal Hospital Ghaziabad

  • IconGhaziabad, India
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150+ Rating

Cytecare Hospital

  • IconBangalore, India
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10171+ Rating

Miot Hospital Chennai

  • IconChennai, India
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5734+ Rating

Manipal Hospital Siliguri

  • IconSiliguri, India
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65+ Rating

Manipal Hospital Salt Lake

  • IconKolkata, India
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15+ Rating

SIMS Hospital Vadapalani

  • IconChennai, India
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20+ Rating

Manipal Hospital Bhubaneswar

  • IconBhubaneshwar, India
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5740+ Rating

Manipal Hospital Old Airport Road

  • IconBangalore, India
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PATIENT REVIEW

Diya Nair, a 72-year-old retired librarian,...

Diya Nair, a 72-year-old retired librarian, had always been sharp and independent. Over the past year, her daughter noticed a troubling change. Diya's once brisk walk had become a slow, shuffling gait, and she seemed to struggle with balance. She was also becoming forgetful, misplacing her glasses and forgetting appointments, which she dismissed as 'senior moments.' The most heartbreaking symptom was a new urinary incontinence, which deeply embarrassed the proud woman. Her primary care physician, suspecting more than normal aging, referred her to a neurosurgeon, Dr. Kapoor. After reviewing an MRI showing enlarged ventricles and conducting a spinal tap that temporarily improved her symptoms, Dr. Kapoor diagnosed Normal Pressure Hydrocephalus (NPH). He recommended a ventriculoperitoneal (VP) shunt surgery to drain the excess cerebrospinal fluid. Diya was terrified of brain surgery but agreed, clinging to the hope of regaining her independence. The procedure went smoothly. The recovery in the hospital was challenging, with headaches and fatigue, but within weeks, a miracle unfolded. Her walking became steadier, her mind clearer. The incontinence resolved. Six months post-op, Diya is back to her book club and walking in the park. Emotionally, she journeyed from fear and humiliation at her declining abilities to profound gratitude and a fierce determination to enjoy her reclaimed life.

Neurosurgeons for Normal Pressure Hydrocephalus

Explore experienced neurosurgeons who regularly perform normal pressure hydrocephalus and provide pre- and post-operative care in India.

Dr. Paraneetharan M
  • 18 Years Experience
  • Neurosurgeon
Speaks: English, Tamil, Hindi
Consult Charge ₹ 900
Available Today
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MediFyr Plus Miot Hospital Chennai, Chennai

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Dr. Harisha P N
  • 22 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Anmol Nagaraj
  • 13 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Lakshman I Kongwad
  • 10 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Harish
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Vybhav Raghu
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 600
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Yeshwanthpur, Bangalore

OPD-desk synced • Updated
Dr. Veeresha U Mathad
  • 11 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Ajay Hegde
  • 9 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 700
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

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Dr. Abhishek H R
  • 8 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Harsha Hegde
  • 8 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 500
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Sarjapur Road, Bangalore

OPD-desk synced • Updated
Dr. Paritosh Pandey
  • 21 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Whitefield, Bangalore

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Dr. Bopanna KM
  • 29 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Paritosh Pandey
  • 21 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Sathwik R Shetty
  • 19 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

OPD-desk synced • Updated
Dr. Praveen Ganigi
  • 20 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 1000
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Old Airport Road, Bangalore

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Dr. Arun Bhandari
  • 17 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

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Dr. Jaskaran Singh
  • 13 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 900
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Patiala, Patiala

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Dr. Maqsood Ahmed Abdul Rahman
  • 17 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Mysore, Mysore

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Dr. Sudheer Kumar Gundamaneni
  • 15 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 850
Available Today
December: 08:00 AM - 08:00 PM

MediFyr Plus Manipal Hospital Vijayawada, vijayawada

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Dr. Vuppu Ravi Kanth
  • 14 Years Experience
  • Neurosurgeon
Speaks: English, Hindi
Consult Charge ₹ 800
Available Today
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MediFyr Plus Manipal Hospital Vijayawada, vijayawada

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