Editing Normal pressure hydrocephalus (section)

== Prognosis ==
The prognosis for patients with NPH varies depending on cause, severity of symptoms, and time to diagnosis. If left untreated, symptoms of gait disturbance, cognitive impairment, and urinary incontinence may continue to worsen and ultimately lead to death. Patients with a successful VP shunt can live a typically normal life with no restrictions to activities of daily living.<ref>{{Cite journal |last1=Savolainen |first1=S. |last2=Hurskainen |first2=H. |last3=Paljärvi |first3=L. |last4=Alafuzoff |first4=I. |last5=Vapalahti |first5=M. |date=June 2002 |title=Five-year outcome of normal pressure hydrocephalus with or without a shunt: predictive value of the clinical signs, neuropsychological evaluation and infusion test |url=https://pubmed.ncbi.nlm.nih.gov/12111484 |journal=Acta Neurochirurgica |volume=144 |issue=6 |pages=515–523; discussion 523 |doi=10.1007/s00701-002-0936-3 |issn=0001-6268 |pmid=12111484|s2cid=24582223 }}</ref> According to a recent study, gait imbalance appears to be the symptom that improves the most for patients after placement of a VP shunt.<ref>{{Cite journal |last1=Wu |first1=Eva M. |last2=El Ahmadieh |first2=Tarek Y. |last3=Kafka |first3=Benjamin |last4=Caruso |first4=James |last5=Aoun |first5=Salah G. |last6=Plitt |first6=Aaron R. |last7=Neeley |first7=Om |last8=Olson |first8=Daiwai M. |last9=Ruchinskas |first9=Robert A. |last10=Cullum |first10=Munro |last11=Batjer |first11=Hunt |last12=White |first12=Jonathan A. |date=2019-03-04 |title=Ventriculoperitoneal Shunt Outcomes of Normal Pressure Hydrocephalus: A Case Series of 116 Patients |journal=Cureus |volume=11 |issue=3 |pages=e4170 |doi=10.7759/cureus.4170 |doi-access=free |issn=2168-8184 |pmc=6502283 |pmid=31093469}}</ref>