Proposal for a normal pressure hydrocephalus syndrome center of excellence

Normal pressure hydrocephalus syndrome, characterized by ventriculomegaly and the classic triad of symmetric gait disturbance, cognitive decline, and urinary incontinence, is the most common cause of hydrocephalus in the adult population and a significant cause of reversible dementia among older adults. The only effective treatment for this syndrome, to date, is a cerebrospinal fluid shunting procedure, commonly a ventriculoperitoneal, ventriculoatrial, or lumboperitoneal shunt. The shunting success rate ranges between 73 and 96%. Hence, early identification, proper diagnosis, and treatment are paramount.