There is more to NPH than lower body Parkinsonism

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Normal pressure hydrocephalus (NPH) symptoms include gait disturbance, cognitive impairment, and urinary incontinence, defined by the Hakim-Trias.
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NPH gait disorders exhibit a spectrum of phenotypes, from nonspecific to Parkinson-like, and respond variably to shunt therapy.
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Shunt surgery significantly improves gait, cognitive dysfunction, and urinary incontinence in NPH patients, enhancing overall quality of life.
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Cognitive impairment in NPH corresponds to subcortical-frontal dementia, affecting attention, memory, and executive functions.
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Postural instability in NPH patients may stem from various origins and can also improve following shunt surgery.

Acta Neurochirurgica

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