Normal Pressure Hydrocephalus (NPH) Evaluation & Management Program

The Normal Pressure Hydrocephalus (NPH) Evaluation and Management Program integrates neurological and neurosurgical care to diagnose and provide definitive treatment for this challenging condition.

Clinic Phone Number: 617-726-1728

About Us

Normal Pressure Hydrocephalus (NPH) is a neurological disorder of older adults that is increasing in prevalence and yet often unrecognized. Its symptoms include insidious and progressive difficulties with walking, memory and thinking, and bladder control. With a head CT scan or MRI, enlarged ventricles in the brain are seen. NPH can be a difficult diagnosis to make because its symptoms overlap with those of other common conditions such as Parkinsonism, Alzheimer’s disease and age-related osteoarthritis and bladder dysfunction. However, it is critical to diagnose NPH if present because it is one of the few dementing conditions that can be controlled or reversed with ventricular shunting.

The mission of our integrated program is to provide state-of-the-science diagnosis, treatment and management for patients with NPH. Our program also serves as a base for clinical research to monitor and optimize outcomes, improve methods for diagnosis, evaluate new therapies and theranostics and increase knowledge about NPH.

An initial visit at the NPH Program consists of a comprehensive history and neurological and cognitive exams by a neurology physician and nurse team. Based on the initial impressions, additional diagnostic testing may be recommended including neuroimaging with MRI or PET and cerebrospinal fluid testing. If these tests support a diagnosis of NPH, then surgical treatment with a shunt to normalize cerebrospinal fluid flow may be recommended. Follow-up care and ongoing management of the condition is available.

Our Doctors

  • Arnold, Steven E., MD

    617-726-1728

    Accepting New Patients

    Clinical Interests
    • Amyotrophic lateral sclerosis (ALS)
    Board Certifications
    • Neurology, American Board of Psychiatry and Neurology
    • Psychiatry, American Board of Psychiatry and Neurology
    Locations
    • Boston: Neurology Associates
  • Curry, William T., MD

    617-726-3779

    Accepting New Patients

    Clinical Interests
    • Brain tumors
    • Cranial base surgery / Endoscopic skull base surgery
    • Immunotherapy for brain tumors
    • Spine and Spinal Cord Tumors
    • Neurofibromatosis
    Board Certifications
    • Neurological Surgery, American Board of Neurological Surgery
    Locations
    • Boston: Pappas Center for Neuro Oncology

Patient FAQs

  • What happens in a new patient appointment and what can I expect?
  • Will I have testing the same day as my appointment?
  • Why does someone have to accompany me and why can’t I come alone?
  • How often will I have appointments?
  • Should I bring anything?
  • How long are the appointments?

News

  • Mass General Pulls Together Multi-specialty Team to Treat Rare Disorder - 12/4/2017, Clinical

    At 79, Tamar wasn’t ready to slow down: She walked three miles a day, was a whiz at Sudoku puzzles, and loved hiking with her husband. But within just a year, she had sharply declined. The once-vibrant septuagenarian could no longer get out of a chair unassisted, didn’t understand how to use a telephone, and had become incontinent. “She was a shell of her former self,” remembers her daughter Iris. “Her physician told us that she had atypical Alzheimer’s disease and that nothing could be done for her.”

Contact Us

Memory Disorders Unit
Wang Ambulatory Care Center
15 Parkman Street 8th Floor
Suite 835
Boston, MA 02114

New Patient Phone: 855-644-6387
Existing Patient Phone: 617-726-1728

Clinic Phone Number: 617-726-1728

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