Normal-Pressure Hydrocephalus: Symptoms, Causes, Diagnosis & Treatment
NORMAL-PRESSURE HYDROCEPHALUS
The “plumbing system” of the central nervous system (CNS) operates in a delicate balance. Fluid produced in the choroid plexus of the lateral ventricles circulates through the third ventricle, cerebral aqueduct (of Sylvius), and fourth ventricle. After exiting from the roof of the fourth ventricle, the cerebrospinal fluid (CSF) circulates around the brain within the subarachnoid cisterns, and is ultimately absorbed by the arachnoid granulations into the circulation. If more CSF is produced than is absorbed, the ventricles and subarachnoid space distend with fluid. In the adult, this imbalance leads to enlargement of the ventricles, which then encroach on the normal cerebral white matter, especially frontally.









