This episode delves into the critical but often underappreciated cognitive impairments associated with Normal Pressure Hydrocephalus (NPH). We explore a systematic review published in World Neurosurgery in 2026, based on an abstract, that synthesizes current evidence on cognitive trajectories in NPH patients. The review highlights the need for standardized neuropsychological assessments to accurately monitor outcomes after shunt surgery, a crucial aspect often inconsistently reported. Listeners will gain insights into which cognitive tests are most sensitive and clinically informative for evaluating the effectiveness of surgical interventions like ventriculo-peritoneal and lumbo-peritoneal shunts. This discussion aims to enhance clinical practice by providing a clearer understanding of cognitive profiles in NPH. This content is for informational purposes only and does not constitute medical advice. This AI-generated content is not a substitute for professional medical evaluation.