Once the diagnosis of NPH was made, a neurosurgical consult was obtained and placement of a shunt was recommended. After discussing the risks and benefits with Mr. X and his wife, they agreed to the placement of a ventriculoperitoneal shunt.
Mr. X returns 2 weeks after surgery during a follow-up appointment. He reports that his walking has become much easier since the his operation. This is evident on observation of the patient's gait. He also notes that his incontinence has resolved. Mrs. X states that his memory is a little better but not back to normal.