There is a kind of dementia that can be treated – so that “old fogeys” are not confused When it comes to the elderly there is always a synonym called old fogeys, which is commonly thought of as a normal part of aging or simply as irreversible dementia, not realizing that some dementia is caused by normal cranial pressure. A condition caused by hydrocephalus (or NPH), which can be treated by surgery and can significantly improve the quality of life of the patient. There is a type of dementia ≠ Alzheimer Mr. Zhang is 67 years old, an old cadre of the cultural troupe, and likes to sing and dance. In the past three months, he does not like to talk to people, and is not as active as before, and his memory is getting worse. Sometimes he can’t even lift his feet when he encounters steps, and he often falls down. Recently, he also wet his pants and had difficulty getting out of bed and walking, so his children had to take time off work to take care of his father. The family was worried if Mr. Zhang had Alzheimer’s disease and sent him to the hospital for diagnosis. Not long after the surgery, Mr. Zhang’s symptoms improved significantly, and his walking was basically back to normal. Not only could he take care of himself, but he was also able to go out of his home and return to his circle of friends again, and the gloom that had been hanging over his family was lifted. Mr. Zhang’s case is not an isolated case, because among the diseases caused by NPH are dementia, dementia, urinary incontinence, etc. Due to the public’s incomplete understanding of diseases and illnesses, it is easy to take it for granted that these diseases are irreversible Alzheimer’s disease. In fact, NPH can be treated surgically and the patient’s quality of life will be significantly improved, but the lack of public knowledge in this area has resulted in a very low rate of consultation at present. Normal cranial pressure hydrocephalus (NPH), a chronic hydrocephalus in adults, occurs in older adults over the age of 60, with a trend toward younger patients in recent years. patients with NPH usually present with a characteristic triad of gait instability, memory impairment, and urinary incontinence. The disease usually starts slowly and progressively worsens. Memory loss, poor mood, apathy, and in severe cases, dementia; abnormal walking gait, small stride, unstable walking, and inability to lift the feet; increased urination, a sense of urgency, and in severe cases, urinary incontinence. Therefore, when elderly people have symptoms such as memory loss, motor impairment, incontinence, etc., do not simply assume that it is Alzheimer’s disease, but in fact, NPH is easy to identify and can usually be easily screened by a CT brain in the hospital. Most patients with NPH are over 60 years old, so it is often considered a normal part of old age, and most patients are not seen in time or do not go to the hospital at all, with only 2 to 3 out of every 10 patients seen in first-tier cities. Japan’s 2011 guideline shows that 1/6 of the total number of people suffering from dementia in old age belong to hydrocephalus dementia, the medical name of which is “normal cranial pressure hydrocephalus dementia”, and because the symptoms are very similar to those of Alzheimer’s disease, it is easy to be misdiagnosed, neglected and delayed, making many patients regretfully pass away from the happy old age they should have had. NPH is treatable. NPH is treatable, but the longer a patient has symptoms, the less effective the treatment will be. Generally speaking, the earlier the diagnosis, the better the chance of successful treatment. Patients with positive diagnostic tests for NPH should be treated as early as possible, and the treatment of choice is shunt implantation. Shunt implantation is a common neurosurgical procedure, but its use in patients with Alzheimer’s disease has been neglected. The use of minimally invasive cerebrospinal fluid shunt surgery for NPH patients with Alzheimer’s disease can significantly improve the symptoms of dementia, restore consciousness, stop the babbling, and greatly improve the quality of life for the patient and his or her family. This surgical method has the advantages of less trauma, less disturbance to the abdominal cavity, less pain, and faster recovery. It is recommended to choose an adjustable shunt for the procedure. A pressure-regulated shunt is the same size as a traditional fixed pressure shunt and is implanted in exactly the same way. If postoperative pressure selection is found to be inappropriate, it is adjusted by a special pressure regulator, eliminating the need for a second surgery. The pressure adjustment process is performed outside the body, usually in about 5 to 10 seconds, and is painless for the patient. However, most patients with dementia have limited mobility and lack health knowledge, and their children are too busy with their own careers and families to care for their parents. These factors often lead to the delay of the disease and aggravate the physical and mental damage of the disease. Prof. Wang Yi and Prof. Sun Bo Min jointly call on children to care for their parents and pay more attention to their parents’ quality of life in old age, especially when they find their parents have symptoms of dementia, they should actively take them to seek medical treatment as soon as possible, so that the “old fool” will not be confused.