Becker’s Healthcare Podcast Dr. Matthew Potts, Neurosurgeon at Northwestern Medicine
Jun 21, 2025
Dr. Matthew Potts, a vascular neurosurgeon from Northwestern Medicine, sheds light on normal pressure hydrocephalus, especially after Billy Joel's diagnosis brought it into the spotlight. He discusses key symptoms like gait issues and cognitive decline, and the importance of accurate diagnosis to differentiate it from other conditions. Dr. Potts highlights treatment options, particularly shunt placement, and emphasizes that early intervention can lead to significant improvement in patient outcomes, including cognitive function.
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Classic NPH Symptom Triad
- Normal pressure hydrocephalus (NPH) symptoms form a classic triad: gait abnormalities, cognitive dysfunction, and urinary incontinence.
- These symptoms are common in older adults and can be caused by various conditions, complicating diagnosis.
Shunt Treatment and Testing
- Treat NPH with a shunt that drains cerebrospinal fluid to relieve pressure and improve symptoms.
- Conduct CSF drainage tests before surgery to predict treatment success by assessing patient symptom improvement.
Early Detection Boosts Recovery
- Early detection of NPH when symptoms are mild results in better recovery chances.
- Prolonged severe symptoms reduce likelihood of significant improvement after treatment.