Normal Pressure Hydrocephalus Treatment in India
About Normal Pressure Hydrocephalus
Key Highlights
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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.
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Typical hospital stay:
2-4 days
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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.
Popular choices for normal pressure hydrocephalus in India include Medanta The Medicity, Kamineni Hospital LB Nagar, Cytecare Hospital, Miot Hospital Chennai, Nanavati Max Hospital, known for experienced specialists and advanced surgical infrastructure.
Look at the doctor’s years of experience, hospital association, patient reviews, and how often they perform normal pressure hydrocephalus. MediFyr helps you compare neurosurgeons and book consultations online.
The overall cost depends on hospital category, surgeon’s experience, room type, implant or device used (if any), length of stay, tests, and post-operative care. Our team can help you get cost estimates from multiple hospitals before you decide.
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 | USD 2,719 – USD 6,526 | 2-4 days | ~ 4-6 weeks for initial recovery; full assessment of symptom improvement may take several months | Know More |
| Turkey | USD 20,131 – USD 48,315 | 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.
Bangalore, India
48 Doctors
At my age, you worry about...
At my age, you worry about being a bother. Dr. Narayanamurthy never made me feel that way. He explained my medication changes slowly, and his manner was very calming. The clinic at MGM was busy, but he took his time.
Neurosurgeons for Normal Pressure Hydrocephalus
Explore experienced neurosurgeons who regularly perform normal pressure hydrocephalus and provide pre- and post-operative care in India.
- 36 Years Experience
- Neurosurgeon
KMC Hospital Mangalore
- 20 Years Experience
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Manipal Hospital Mukundapur
- 23 Years Experience
- Neurosurgeon
KMC Hospital Mangalore
- 24 Years Experience
- Neurosurgeon
Manipal Hospital Millers Road
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Mukundapur
- 31 Years Experience
- Neurosurgeon
Manipal Hospital Mukundapur
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Millers Road
- 15 Years Experience
- Neurosurgeon
Manipal Hospital Mukundapur
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Kanakapura Road
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Dhakuria
- 13 Years Experience
- Neurosurgeon
Manipal Hospital Dhakuria
- 19 Years Experience
- Neurosurgeon
Manipal Hospital Dhakuria
- 32 Years Experience
- Neurosurgeon
Manipal Hospitals Broadway
- 15 Years Experience
- Neurosurgeon
Manipal Hospitals Broadway
- 16 Years Experience
- Neurosurgeon
Manipal Hospital Varthur Road
- 11 Years Experience
- Neurosurgeon
Manipal Hospital Varthur Road
- 14 Years Experience
- Neurosurgeon
Manipal Hospital Varthur Road
- 10 Years Experience
- Neurosurgeon
Manipal Hospitals Broadway
- 16 Years Experience
- Neurosurgeon
Artemis Hospital Gurgaon
- 21 Years Experience
- Neurosurgeon
Manipal Hospital Bhubaneswar