Abstract
In the management of probable Idiopathic Normal Pressure Hydrocephalus (iNPH) diagnosed according to the Guidelines for Management of iNPH, the role of the neurosurgeon is to provide effective treatment while minimizing complications. The neurosurgeon decides whether surgery is indicated or not by taking account of the patient's general condition, the family's intentions, and an environment which allows long-term observation. Therapies selected are mainly V-P shunt and L-P shunt. When using a shunt system, a programmable differential pressure valve is recommended. Especially, postoperative management should include proper precautions and countermeasures against overdrainage of the cerebrospinal fluid. Improvement of the patient's quality of life and reduction of burden of care are expected through adequate treatment and postoperative management.
