What are the current guidelines for the management and referral of patients with suspected Normal Pressure Hydrocephalus in primary care?

Guideline-aligned answer with reasoning, red flags and references. Clinically reviewed by Dr Kola Tytler MBBS CertHE MBA MRCGP.

Posted: 17 August 2025Updated: 17 August 2025 Guideline-Aligned (High Confidence) Clinically Reviewed
Dr Kola Tytler MBBS CertHE MBA MRCGPClinical Lead • iatroX

For patients in primary care with suspected normal pressure hydrocephalus (NPH), the current guidelines primarily focus on referral for further assessment rather than specific primary care management.

Adults who present with difficulty initiating and coordinating walking, known as gait apraxia, should be referred to neurology or an elderly care clinic to exclude normal pressure hydrocephalus .

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