title: Normal-Pressure Hydrocephalus Case Report: Self-Documented Over 8 Years with the Author's Observations.
abstract: Normal-pressure hydrocephalus is an almost curable disease, but the results of management are still not encouraging owing to the deceptive nature of the disease and its sensitivity to treatment. This has made the management of the disease controversial. The following self-documented report clarifies this. I have reported my experience in a scientific manner so that my colleagues can understand thoroughly certain facts related to intracranial hypertension. Achieving the optimal adjustment of the valve is a real challenge. I describe in detail the adjustment criteria I discovered. I believe that the use of biofeedback waves are almost the best way to make a proper adjustment of the valve, that is, if waves come from this machine and show increased tension of the facial muscles (high spiky waves) the valve adjustment has to be reduced without risking overdrainage. I have been observing my symptoms in some detail, which led me to a better understanding of the clinical pictures related to cerebrospinal fluid changes. I hope that uncovering my story can help with further research and improve management in this important and interesting field.
authors.affiliation: Emergency Department, Al-Dhaid Hospital MOH, Al Dhaid, United Arab Emirates. omerelsabbagh@gmail.com.
authors.forename: Omer
authors.initials: O
authors.lastname: Elsabbagh
mesh_terms: D003937:Diagnosis, Differential; D004867:Equipment Design; D058005:General Practitioners; D006801:Humans; D006849:Hydrocephalus / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006850:Hydrocephalus, Normal Pressure / Q000175:diagnosis* / Q000601:surgery; D019586:Intracranial Hypertension / Q000175:diagnosis* / Q000209:etiology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012086:Reoperation; D017287:Ventriculoperitoneal Shunt / Q000295:instrumentation / Q000379:methods*
keywords: Biofeedback; Intracranial hypertension; NPH; Optimal valve adjustment; Programmable valves